Provider Demographics
NPI:1093012676
Name:KESSLER, ABIGAIL (LIC AC)
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 WASHINGTON ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:NEWTONVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02460-1690
Mailing Address - Country:US
Mailing Address - Phone:617-964-9519
Mailing Address - Fax:
Practice Address - Street 1:815 WASHINGTON ST
Practice Address - Street 2:SUITE 11
Practice Address - City:NEWTONVILLE
Practice Address - State:MA
Practice Address - Zip Code:02460-1690
Practice Address - Country:US
Practice Address - Phone:617-964-9519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA599171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist