Healthcare Provider Details

I. General information

NPI: 1013010586
Provider Name (Legal Business Name): ROBERT GREG MCMORROW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 04/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 HARRODSBURG RD C 335
LEXINGTON KY
40504
US

IV. Provider business mailing address

1401 HARRODSBURG RD C 335
LEXINGTON KY
40504
US

V. Phone/Fax

Practice location:
  • Phone: 859-276-5355
  • Fax: 859-276-0055
Mailing address:
  • Phone: 859-276-5355
  • Fax: 859-276-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number18925
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: