Basic Information
| Provider Information | |||||||||
| NPI: | 1356909329 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KESSLER | ||||||||
| FirstName: | RENE | ||||||||
| MiddleName: | PHILLIPS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3500 N. BROAD STREET | ||||||||
| Address2: | ROOM 001A | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191404106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159269022 | ||||||||
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| Practice Location | |||||||||
| Address1: | 133 W HUNTING PARK AVE STE 300A | ||||||||
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| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191402717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153240600 | ||||||||
| FaxNumber: | 2153242769 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2019 | ||||||||
| LastUpdateDate: | 10/13/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD476449 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.