Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 22735 | CA |
NPI | 1336226323 |
---|---|
Provider Name | Dr. Robert Paul Kessler |
First Address | Morgan Hill, CA 95037-3661 |
Second Address | Morgan Hill, CA 95037-3661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 01/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
770391390 | (02) | CA |