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NPI Code Detail

MEDICARE: MR. KEVIN J KUSLER PA-C

MEDICARE: MR. KEVIN J KUSLER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant08500188IL

General Provider Information

NPI Number : 1881680478
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN J KUSLER PA-C
Provider Business Mailing Address
First Line : 1000 W HARLEM AVE
Second Line :
City : MONMOUTH
State : IL
Zip : 61462-1007
Country : US
Telephone Number : 309-734-3141
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W HARLEM AVE
Second Line :
City : MONMOUTH
State : IL
Zip : 61462-1007
Country : US
Telephone Number : 309-734-3141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 05/28/2014

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Directions to “ MR. KEVIN J KUSLER PA-C” Practice Location

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