Kercull, Robert George

Kercull, Robert George is an sole proprietor health care provider with primary practice located at 195 Church St , Saratoga Springs NY 12866-1009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kercull, Robert George can be contacted via phone (518) 587-8887.

Contact Information

Primary practice address
195 Church St Saratoga Springs NY 12866-1009
Phone: (518) 587-8887
Fax: (518) 583-9294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 097868 New York

Profile Details

NPI number 1134127335
LBN Legal business name Kercull, Robert George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Oct 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134127335 NPPES
New York Other 201002419 PALMETTO/GBA/RR MEDICARE
New York MEDICAID 00525228 PALMETTO/GBA/RR MEDICARE

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