Provider Demographics
NPI:1588693964
Name:KESLER, BRETT V (DPM)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:V
Last Name:KESLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 SAN DIMAS ST
Mailing Address - Street 2:SUITE 103B
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5734
Mailing Address - Country:US
Mailing Address - Phone:661-323-0403
Mailing Address - Fax:661-323-2950
Practice Address - Street 1:3941 SAN DIMAS ST
Practice Address - Street 2:SUITE 103B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5734
Practice Address - Country:US
Practice Address - Phone:661-323-0403
Practice Address - Fax:661-323-2950
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4239213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E42391Medicare ID - Type UnspecifiedPPIN
U79205Medicare UPIN
CA5699940001Medicare NSC