Healthcare Provider Details

I. General information

NPI: 1679527204
Provider Name (Legal Business Name): ROBERT M KUHL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 W TOWNLINE ST SUITE 200
CRESTON IA
50801-1054
US

IV. Provider business mailing address

1610 W TOWNLINE ST SUITE 200
CRESTON IA
50801-1054
US

V. Phone/Fax

Practice location:
  • Phone: 641-782-2131
  • Fax: 641-782-6425
Mailing address:
  • Phone: 641-782-2131
  • Fax: 641-782-6425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number20887
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: