Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD176981 | OR |
NPI | 1003236811 |
---|---|
Provider Name | Dr. Anne Marie Kessler |
First Address | Klamath Falls, OR 97601-1106 |
Second Address | Klamath Falls, OR 97601-1106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2014 |
Last Update Date | 11/02/2020 |