MEDICARE: DR. ROBERT LIBBEY 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
1	207R00000X	Internal Medicine Physician	ME84937	FL
2	207R00000X	Internal Medicine Physician	54657	KY
3	208M00000X	Hospitalist Physician	54657	KY
4	207RN0300X	Nephrology Physician	ME84937	FL

General Provider Information

NPI Number	:	1700838539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LIBBEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 632281
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2281
Country	:	US
Telephone Number	:	812-450-6815
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 N ELM ST
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42420-2783
Country	:	US
Telephone Number	:	812-450-3036
Fax Number	:	270-827-7441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/23/2026

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