Provider Demographics
NPI:1174749444
Name:KESSLER, WILLIAM ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:KESSLER
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 1:555 N EL CAMINO REAL
Mailing Address - Street 2:SUITE A413
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-6740
Mailing Address - Country:US
Mailing Address - Phone:949-251-8880
Mailing Address - Fax:949-251-8882
Practice Address - Street 1:1801 E DYER RD
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5705
Practice Address - Country:US
Practice Address - Phone:949-251-8880
Practice Address - Fax:949-251-8882
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor