Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | C49822 | |
N | 222Z00000X | Podiatrist | C49822 | |
Y | 224P00000X | Prosthetist | C49822 |
NPI | 1376173286 |
---|---|
Provider Name | Robert Kaler |
First Address | Fletcher, NC 28732-8241 |
Second Address | Fletcher, NC 28732-8241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2020 |
Last Update Date | 20/01/2020 |