Provider Demographics
NPI:1740526789
Name:KEHLER, ROBER GARY (DC)
Entity type:Individual
Prefix:DR
First Name:ROBER
Middle Name:GARY
Last Name:KEHLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 HAYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833-4010
Mailing Address - Country:US
Mailing Address - Phone:908-813-8200
Mailing Address - Fax:
Practice Address - Street 1:1510 ROUTE 517
Practice Address - Street 2:VILLAGE SQUARE AT PANTHER VALLEY
Practice Address - City:ALLAMUCHY
Practice Address - State:NJ
Practice Address - Zip Code:07820
Practice Address - Country:US
Practice Address - Phone:908-813-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00340800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor