Robert B Kanuckel in Englewood - Physician Assistant

Robert B Kanuckel - NPI 1821049198

Robert B Kanuckel is a Physician Assistant in Englewood, Ohio. Robert B Kanuckel practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert B Kanuckel is 1821049198. The last update date is 2019-04-29.

Robert B Kanuckel's current location address is 7709 Hoke Rd, Englewood, Ohio. You can contact this provider via phone number 9378364000 and fax number 9375401090. The mailing address for Robert B Kanuckel is 7709 Hoke Rd, Englewood, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert B Kanuckel
Address 7709 Hoke Rd, Englewood, Ohio
Phone Number 9378364000
Fax Number 9375401090
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1821049198
Provider Enumeration Date 2006-05-12
Last Updated Date 2019-04-29

Provider Mailing Address Detail

Address 7709 Hoke Rd
City Englewood
State Ohio (OH)
Post Code 4531597250
Phone Number 9378364000
Fax Number 9375401090

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 50000110
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00150614 RR MEDICARE FAIFIELD

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FAQs about Robert B Kanuckel

What is the unique 10-digit identifier code issued to Robert B Kanuckel by the Centers for Medicare & Medicaid Services?

The Robert B Kanuckel has been assigned the NPI (National Provider Identifier) 1821049198 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Robert B Kanuckel?

The Robert B Kanuckel is situated at 7709 Hoke Rd, in the city of Englewood, state of OH, with the zip code 4531597250.

What is Robert B Kanuckel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Robert B Kanuckel is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821049198 to Robert B Kanuckel?

The Centers for Medicare & Medicaid Services assigned the 1821049198 to Robert B Kanuckel on 2006-05-12.

When was the information regarding Robert B Kanuckel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert B Kanuckel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-04-29.

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