Basic Information
Provider Information
NPI: 1780782441
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUEHL
FirstName: RODNEY
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: RRT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7578 SW 85TH DR
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 326088455
CountryCode: US
TelephoneNumber: 3523389314
FaxNumber:  
Practice Location
Address1: 619 S MARION AVE
Address2:  
City: LAKE CITY
State: FL
PostalCode: 320255808
CountryCode: US
TelephoneNumber: 3867553016
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
227900000XRT 5023FLY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered 

No ID Information.


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