Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 15803 | MS |
NPI | 1013981703 |
---|---|
Provider Name | Victor C. Kessler |
First Address | Starkville, MS 39759-2521 |
Second Address | Starkville, MS 39759-2521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 22/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00119627 | (05) | MS |
A78663 | (02) | MS |