Matthew Lee Kessler, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

119393 Issued in MN

Practice address

712 S Cascade Street
Lake Region Healthcare Corporation
Fergus Falls, MN 56537

Phone

(701) 388-0224

NPI assigned

Aug 19, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1003063231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 35TH ST S APT 302",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038452",
            "telephone_number": "701-388-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S CASCADE STREET",
            "address_2": "LAKE REGION HEALTHCARE CORPORATION",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "56537",
            "telephone_number": "701-388-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119393",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Kelsen
• Randall James Kempfer, O.D.
• Tara Amber Kempfer, O.D.
• Colleen L Kennedy, LICSW
• Kessel Group Home Inc
• Ibrahim Ali Khan, MD
• Anna Kimball, RN, PHN
• Angela Sue King, LPN
• April King
• Patricia Kingston, D,D,S,, M.S.

• All providers in Fergus Falls, MN
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.