Provider Demographics
NPI:1063391985
Name:AQUINO-KESSLER, THERESA
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:AQUINO-KESSLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31906 AMERON CIR
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-7314
Mailing Address - Country:US
Mailing Address - Phone:912-433-7190
Mailing Address - Fax:704-870-0987
Practice Address - Street 1:31906 AMERON CIR
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-7314
Practice Address - Country:US
Practice Address - Phone:912-433-7190
Practice Address - Fax:704-870-0987
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty