Provider Demographics
NPI:1790877579
Name:KESSLER, RHONDA M (MD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:M
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:BROTMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16114 WATERLEAF LN
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3120
Mailing Address - Country:US
Mailing Address - Phone:239-689-3934
Mailing Address - Fax:239-689-3934
Practice Address - Street 1:16114 WATERLEAF LN
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3120
Practice Address - Country:US
Practice Address - Phone:239-689-3934
Practice Address - Fax:239-689-3934
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2015-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME324472085P0229X
DEC100066912085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200042030AMedicaid
PA1792490Medicaid
NY2067105Medicaid
NJ8157103Medicaid
IA573709Medicaid
MD7098006Medicaid
NC7613287Medicaid
RIRK47128Medicaid
PA1792490Medicaid
IA573709Medicaid
NY2067105Medicaid