Provider Demographics
NPI:1487647970
Name:KABLER, RONALD L (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:L
Last Name:KABLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20 SUNNYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3213
Mailing Address - Country:US
Mailing Address - Phone:610-323-5550
Mailing Address - Fax:610-327-4651
Practice Address - Street 1:20 SUNNYBROOK RD
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3213
Practice Address - Country:US
Practice Address - Phone:610-323-5550
Practice Address - Fax:610-327-4651
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD014622E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006893130002Medicaid
PA058986EH0Medicare ID - Type Unspecified
PA0006893130002Medicaid