Provider Demographics
NPI:1548352669
Name:KESSINGER, ROBERT C (DC, DABCI, DACBN)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:KESSINGER
Suffix:
Gender:M
Credentials:DC, DABCI, DACBN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 HWY 72 E
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401
Mailing Address - Country:US
Mailing Address - Phone:573-341-8292
Mailing Address - Fax:573-341-8494
Practice Address - Street 1:411 HWY 72 E
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401
Practice Address - Country:US
Practice Address - Phone:573-341-8292
Practice Address - Fax:573-341-8494
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO990001623Medicare ID - Type Unspecified
MOT86632Medicare UPIN