Healthcare Provider Details

I. General information

NPI: 1588179832
Provider Name (Legal Business Name): ROBERT WILLIAM KUHL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2017
Last Update Date: 12/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 REDWOOD DR
LOUISVILLE KY
40213-1529
US

IV. Provider business mailing address

1619 REDWOOD DR
LOUISVILLE KY
40213-1529
US

V. Phone/Fax

Practice location:
  • Phone: 502-345-9418
  • Fax:
Mailing address:
  • Phone: 502-345-9418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number6156
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: