Provider Demographics
NPI:1912931759
Name:KESSLER, ALAN Z (DO)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:Z
Last Name:KESSLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6740 W 121ST ST
Mailing Address - Street 2:STE 300
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2017
Mailing Address - Country:US
Mailing Address - Phone:913-257-5401
Mailing Address - Fax:913-257-5542
Practice Address - Street 1:6740 W 121ST ST
Practice Address - Street 2:STE 300
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209
Practice Address - Country:US
Practice Address - Phone:913-257-5401
Practice Address - Fax:913-257-5542
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO111377207Q00000X
KS0524227207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100641740AMedicaid
KSG933754Medicare ID - Type Unspecified
F44556Medicare UPIN
KS100641740AMedicaid