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NPI Code Detail

MEDICARE: DR. ROGER W STRUNK MD

MEDICARE:  DR. ROGER W STRUNK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician23513KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
210015515OTHERKYRAILROAD MEDICARE
5C30629OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000048740OTHERKYANTHEM BCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063411650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER W STRUNK MD
Provider Business Mailing Address
First Line : PO BOX 1080
Second Line :
City : BURKESVILLE
State : KY
Zip : 42717-1080
Country : US
Telephone Number : 270-858-6655
Fax Number : 270-858-4607
Provider Business Practice Location Address
First Line : 593 EAST MAIN STREET
Second Line :
City : FRANKFORT
State : KY
Zip : 40601-2332
Country : US
Telephone Number : 502-223-0308
Fax Number : 502-227-5764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 09/22/2021

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Directions to “ DR. ROGER W STRUNK MD” Practice Location

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