Healthcare Provider Details

I. General information

NPI: 1689254112
Provider Name (Legal Business Name): CAMERON G KERL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W FOREVERGREEN RD
NORTH LIBERTY IA
52317-9848
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-2223
  • Fax: 319-353-6745
Mailing address:
  • Phone: 319-356-2223
  • Fax: 319-353-6754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD-56880
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberMD-56880
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: