Healthcare Provider Details

I. General information

NPI: 1558372771
Provider Name (Legal Business Name): ROBERT HOSKINS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22055 MAIN STREET STE 101
HYDEN KY
41749
US

IV. Provider business mailing address

PO BOX 2158
LONDON KY
40743-2158
US

V. Phone/Fax

Practice location:
  • Phone: 606-672-7425
  • Fax: 606-672-3077
Mailing address:
  • Phone: 606-862-7000
  • Fax: 606-864-1207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: ROBERT C. HOSKINS
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 606-862-7000