Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD00024865 | WA |
N | 207YS0123X | Facial Plastic Surgeon | MD00024865 | WA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD00024865 | WA |
NPI | 1124057682 |
---|---|
Provider Name | David Joseph Kessler |
First Address | Bremerton, WA 98310-3399 |
Second Address | Silverdale, WA 98383-7681 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 06/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040002009 | RAILROAD MEDICARE (01) | |
1034453 | (05) | WA |
4286309 | AETNA (01) | |
75435 | LABOR & INDUSTRIES (01) | WA |
8913055 | CRIME VICTIMS COMP (01) | WA |
A07040 | (02) | |
AK1790268 | DEA (01) | |
KE6412 | REGENCE BLUESHIELD (01) |