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NPI Code Detail

MEDICARE: ROBERT EMSLIE M.D.

MEDICARE: ROBERT EMSLIE M.D.
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
1207RG0100XGastroenterology Physician21562KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4110052153OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000044716OTHERKYANTHEM
250003004OTHERKYPASSPORT
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205830189
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT EMSLIE M.D.
Provider Business Mailing Address
First Line : 201 PARK ST
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42101-1759
Country : US
Telephone Number : 270-781-5111
Fax Number : 270-780-0478
Provider Business Practice Location Address
First Line : 350 PARK ST
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42101-1784
Country : US
Telephone Number : 270-781-5111
Fax Number : 270-780-0478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/02/2014

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Directions to “ ROBERT EMSLIE M.D.” Practice Location

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