Individual
ROBERT GEORGE KERCULL
Active
Individual
ROBERT GEORGE KERCULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
097868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525228
—
NY
01
—
201002419
PALMETTO/GBA/RR MEDICARE
NY
Enumeration date
07/12/2005
Last updated
10/10/2008
Update your record
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