Provider Demographics
NPI:1336247667
Name:KESSLER, BRIAN (DO)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:KESSLER
Suffix:
Gender:M
Credentials:DO
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Other - Last Name:
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Mailing Address - Street 1:20000 HARVARD AVE
Mailing Address - Street 2:DEPARTMENT OF GRADUATE MEDICAL EDUCATION
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6816
Mailing Address - Country:US
Mailing Address - Phone:216-491-7458
Mailing Address - Fax:216-491-7802
Practice Address - Street 1:2365 EDISON BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2388
Practice Address - Country:US
Practice Address - Phone:216-491-7036
Practice Address - Fax:216-491-7776
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2009-06-02
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Provider Licenses
StateLicense IDTaxonomies
OH34007698K207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H53341Medicare UPIN