Provider Type Icon

LACY COKER KESSLER MD PA NPI 1003177726


NPI Information

NPI: 1003177726
Provider Name: LACY COKER KESSLER, MD, PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 45D2047764

Address:
2410 WYCON DR
SUITE 204
WACO, TX
ZIP 76712
Phone: (254) 420-0002
Get Directions

LACY COKER KESSLER, MD, PA is an obstetrics gynecology in Waco, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LACY COKER KESSLER, MD, PA NPI is 1003177726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2410 WYCON DR
SUITE 204
WACO, TX
ZIP 76712-958
Phone: (254) 420-0002

The provider's authorized official is Sarah J Elliott .
The authorized official title is Office Manager and has the following contact phone number (254) 420-0002.

The CLIA number assigned to this NPI record is 45D2047764 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/30/2012 and was last updated on 3/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyP2879TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13064149-01MEDICAIDTEXAS
2TXB156676MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.