Provider Demographics
NPI:1750497509
Name:KESSLER, KENT J (MD)
Entity Type:Individual
Prefix:
First Name:KENT
Middle Name:J
Last Name:KESSLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1110 LANCASTER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8792
Mailing Address - Country:US
Mailing Address - Phone:859-623-3576
Mailing Address - Fax:859-624-9682
Practice Address - Street 1:1110 LANCASTER RD STE 3
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8792
Practice Address - Country:US
Practice Address - Phone:859-623-3576
Practice Address - Fax:859-624-9682
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2020-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY29306208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY021113600OtherUS DEPARTMENT OF LABOR
KY163843500OtherUS DEPT OF LABOR
KY3096OtherCHA
KY1122500OtherPASSPORT HEALTH PLAN
KY3781364OtherCIGNA
KY000000050185OtherANTHEM
KY0005961093OtherAETNA
KY1700281OtherUNITED HEALTHCARE
KY1750497509OtherPGBA, LLC
KY020035606OtherPALMETTO GBA
KY64239601Medicaid
KYW2K31OtherEMPIRE BLUE CROSS
KY0005961093OtherAETNA
KY3096OtherCHA
KY64239601Medicaid