Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT O KESSACK III, PA
ActiveROBERT O KESSACK III, PA is a Physician Assistant healthcare provider located in PIERSON, Florida. NPI 1497708952 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PIERSON, FL
Registration Details
- NPI Number
- 1497708952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.235919845467 yrs)
- Last Updated
- Apr 16, 2015
- License
-
PA9105462 (FL)
Practice Information
- Address
-
216 FREDERICK STPIERSON, FL, 321803024Browse FL providers · Browse ZIP 32180
- Phone
- 3867499449
- Fax
- 3867492280
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.