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Deactivated NPI 1750322137 Deactivated / Inactive NPI Male Practitioner

Dr. Robert James Kukol , PhD, CCC-SLP

Speech-Language Pathologist • Canandaigua, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Kukol has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2006
NPI Deactivation Date December 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Kukol, PhD, CCC-SLP was a registered Speech-Language Pathologist practicing in Canandaigua, NY. Throughout an active medical career spanning 16 years, Dr. Kukol provided care at the practice location at 400 FORT HILL AVE until profile deactivation on 2022-12-28.

Practice Location & Contact Primary Location

Practice Address

400 Fort Hill Ave

Canandaigua, NY 144241159

Telephone 5853937889
Fax 5853938379
Associated Practice Facility / Clinic
🏢 Buffalo Vamc Facility NPI 1427006758

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Canandaigua, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Canandaigua, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 648

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kwang-Joon Nam , MD

Radiology - Diagnostic Radiology

NPI 1487681854

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 28, 2022

Record deactivated on December 28, 2022

NPI Profile Active July 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 11, 2007

Registered at 400 FORT HILL AVE, CANANDAIGUA, NY 144241159 (Tel: 5853937889)

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Updated Business Mailing Address July 11, 2007

Registered at 177 CRESCENT RD, FAIRPORT, NY 144501205 (Tel: 5853838628)

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Provider Name / Credentials Updated July 11, 2007

Recorded as ROBERT KUKOL, PH.D., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2007

Speech-Language Pathologist (License #648 in NY)

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Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750322137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2006
Last Update: July 11, 2007
Deactivation Date: December 28, 2022

Mailing Address

177 Crescent Rd

Fairport, NY 144501205

Phone: 5853838628

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.