Provider Demographics
NPI:1679527204
Name:KUHL, ROBERT M (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:KUHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1610 W TOWNLINE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CRESTON
Mailing Address - State:IA
Mailing Address - Zip Code:50801-1054
Mailing Address - Country:US
Mailing Address - Phone:641-782-2131
Mailing Address - Fax:641-782-6425
Practice Address - Street 1:1610 W TOWNLINE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CRESTON
Practice Address - State:IA
Practice Address - Zip Code:50801-1054
Practice Address - Country:US
Practice Address - Phone:641-782-2131
Practice Address - Fax:641-782-6425
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2011-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA20887208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1679527204Medicaid
IA020016686OtherRAILROAD MEDICARE NONBILL
IA1679527204Medicaid
14523Medicare ID - Type UnspecifiedMEDICARE NONBILLING NUMB