Look up the most recent NPI and PECOS records

Robert A Kenul

Chiropractor

Chiropractic Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Robert A Kenul does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1649398389
Provider Type
Individual
Full Name
Kenul, Robert A
Title
Dr.
Credential
D.C.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/27/2007
Last Updated
9/10/2010

Contact Information

Practice Location

987 N Ocean Ave, Medford, NY 11763-3532

(631) 758-6262

(631) 758-1660

Mailing Location

987 N Ocean Ave, Medford, NY 11763-3532

(631) 758-6262

(631) 758-1660

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License X004534-1 New York

Provider Identifiers

ID	Description	Issuer
ID 11-2967495	Description Other	Issuer FEDERAL TAX I.D. NUMBER New York

Robert A Kenul

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

495 Chiropractic, Pc

Spata, Natale F

Goldman, Todd Russell

Kenul, Dillon

Kenul Chiropractic Pllc

Dr. Todd Goldman Chiropractor Pc

Micucci, Anthony Francis

Cole Chiropractic Pc

Priolo And Berns Chiropractic Pllc

Mt Chiropractic, P.C.