Healthcare Provider Details

I. General information

NPI: 1396746715
Provider Name (Legal Business Name): ROBERT KYLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 MEDICAL CENTER DR
FISHERSVILLE VA
22939-2332
US

IV. Provider business mailing address

PO BOX 791248 SUITE 150
BALTIMORE MD
21279-1248
US

V. Phone/Fax

Practice location:
  • Phone: 540-245-7000
  • Fax: 540-245-7202
Mailing address:
  • Phone: 770-693-2622
  • Fax: 770-693-5821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number0101039708
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: