Provider Demographics
NPI:1154340891
Name:KEHLER, ROBERT LAMONT (PA-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LAMONT
Last Name:KEHLER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8654 INDIAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-2328
Mailing Address - Country:US
Mailing Address - Phone:301-620-9515
Mailing Address - Fax:301-694-5307
Practice Address - Street 1:700B CORPORATE CENTER CT STE A
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-3035
Practice Address - Country:US
Practice Address - Phone:410-871-0470
Practice Address - Fax:410-871-0743
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0002076363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical