Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G76902 | CA |
N | 2081P2900X | Pain Medicine | G76902 | CA |
NPI | 1043223381 |
---|---|
Provider Name | Corby S. Kessler |
First Address | Napa, CA 94558-2932 |
Second Address | Napa, CA 94558-2932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 26/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G769020 | MEDICARE PROV # (01) | CA |
00G769021 | MEDI-CAL (01) | CA |
037930 | HEALTHNET (01) | CA |
138791900 | US DEPT OF LABOR (01) | CA |
411753977 | BC OF CA (01) | CA |
F26750 | UPIN (01) | CA |
P00081783 | RR MEDICARE (01) | CA |