Provider Demographics
NPI:1770107930
Name:KUEHL, ALEXANDER P (DC)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:P
Last Name:KUEHL
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 1:2117 BUFFALO RD # 169
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1507
Mailing Address - Country:US
Mailing Address - Phone:585-201-8192
Mailing Address - Fax:
Practice Address - Street 1:72 OVERBROOK RD
Practice Address - Street 2:
Practice Address - City:GATES
Practice Address - State:NY
Practice Address - Zip Code:14624-3418
Practice Address - Country:US
Practice Address - Phone:585-201-8192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY13100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty