Provider Demographics
NPI:1952601882
Name:KESSLER, AUDRA M (PA-C)
Entity type:Individual
Prefix:
First Name:AUDRA
Middle Name:M
Last Name:KESSLER
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:2242 DARLINGTON RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1329
Mailing Address - Country:US
Mailing Address - Phone:724-384-8392
Mailing Address - Fax:724-384-0066
Practice Address - Street 1:1597 WASHINGTON PIKE
Practice Address - Street 2:SUITE A-22
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2894
Practice Address - Country:US
Practice Address - Phone:412-489-6919
Practice Address - Fax:412-489-6279
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2014-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054538363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA802308HRKMedicare PIN