Robert L Wyenandt Jr,md Pllc | |
2156 Chamber Center Dr Lakeside Park KY 41017-1669 | |
(859) 341-6255 | |
(859) 547-1197 |
Full Name | Robert L Wyenandt Jr,md Pllc |
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Speciality | Family Medicine |
Location | 2156 Chamber Center Dr, Lakeside Park, Kentucky |
Authorized Official Name and Position | Robert L Wyenandt (OWNER) |
Authorized Official Contact | 8593416255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert L Wyenandt Jr,md Pllc 2156 Chamber Center Dr Lakeside Park KY 41017-1669 Ph: (859) 341-6255 | Robert L Wyenandt Jr,md Pllc 2156 Chamber Center Dr Lakeside Park KY 41017-1669 Ph: (859) 341-6255 |
NPI Number | 1538159751 |
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Provider Enumeration Date | 10/27/2005 |
Last Update Date | 02/19/2008 |
Identifier | Type | State | Issuer |
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1538159751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |