Provider Demographics
NPI:1922495233
Name:KESSLER, BRICE ALLEN
Entity Type:Individual
Prefix:
First Name:BRICE
Middle Name:ALLEN
Last Name:KESSLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 SUMMERWALK CIR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8669
Mailing Address - Country:US
Mailing Address - Phone:336-577-3307
Mailing Address - Fax:
Practice Address - Street 1:170 MANNING DR
Practice Address - Street 2:CAMPUS BOX 7060
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4221
Practice Address - Country:US
Practice Address - Phone:919-966-1374
Practice Address - Fax:919-843-6520
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program