Provider Demographics
NPI:1013981703
Name:KESSLER, VICTOR C (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:C
Last Name:KESSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BRANDON RD
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-2521
Mailing Address - Country:US
Mailing Address - Phone:662-324-1291
Mailing Address - Fax:662-324-2196
Practice Address - Street 1:107 BRANDON RD
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-2521
Practice Address - Country:US
Practice Address - Phone:662-324-1291
Practice Address - Fax:662-324-2196
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15803207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00119627Medicaid
MS100000150Medicare ID - Type Unspecified
MS00119627Medicaid