Provider Demographics
NPI:1720085160
Name:KESSLER, ALLEN REIF II (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:REIF
Last Name:KESSLER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1898 BRAEBURN DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-7301
Mailing Address - Country:US
Mailing Address - Phone:540-772-3008
Mailing Address - Fax:540-772-3352
Practice Address - Street 1:1898 BRAEBURN DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7301
Practice Address - Country:US
Practice Address - Phone:540-772-3008
Practice Address - Fax:540-772-3352
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033460208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7301987Medicaid
B06403Medicare UPIN
VA7301987Medicaid