Provider Demographics
NPI:1720103435
Name:KESLER, CHRIS (DC)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:KESLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 E FORT UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-2852
Mailing Address - Country:US
Mailing Address - Phone:801-942-7272
Mailing Address - Fax:801-942-7287
Practice Address - Street 1:1760 E FORT UNION BLVD
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-2852
Practice Address - Country:US
Practice Address - Phone:801-942-7272
Practice Address - Fax:801-942-7287
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT169904-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT36408OtherDMBA
UT870395551KE3OtherEDUCATORS MUTUAL
UT51799OtherUUHP
UTM7454Medicaid
UT19954OtherPEHP
UTQM0000010539OtherALTIUS
UT870395551KE3OtherEDUCATORS MUTUAL
UT000005749Medicare ID - Type Unspecified