Provider Demographics
NPI:1720699622
Name:KESSLER, ADAM BROOK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BROOK
Last Name:KESSLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1954 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8038
Mailing Address - Country:US
Mailing Address - Phone:931-552-8108
Mailing Address - Fax:931-552-9614
Practice Address - Street 1:1954 MADISON ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8038
Practice Address - Country:US
Practice Address - Phone:931-552-8108
Practice Address - Fax:931-552-9614
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41107183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist