Provider Demographics
NPI:1497101729
Name:KIESSLING, JOHN WILLIS (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIS
Last Name:KIESSLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 PIPER ST STE S450
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4635
Mailing Address - Country:US
Mailing Address - Phone:907-258-6999
Mailing Address - Fax:
Practice Address - Street 1:3831 PIPER ST STE S450
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4635
Practice Address - Country:US
Practice Address - Phone:907-258-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A16987207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery