Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 06220R | LA |
NPI | 1013972348 |
---|---|
Provider Name | Robert M Kessler |
First Address | Marrero, LA 70072-3120 |
Second Address | Marrero, LA 70072-3120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 17/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1366129 | (05) | LA |
B63815 | (02) |