SearchOhio363A00000X

Robert Kanuckel, PAC

NPI 1821049198 · on the registry since 2006

Practice

Address
7709 Hoke Rd
Englewood, OH 45315
Phone
(937) 836-4000
Fax
(937) 540-1090
Organisation at this address
Hometown Behavioral Health
Hometown Primary Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio