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NPI Code Detail

MEDICARE: DR. ROBERT W COLLINS III M.D.

MEDICARE: DR. ROBERT W COLLINS III 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
1207R00000XInternal Medicine Physician25549KY

General Provider Information

NPI Number : 1992807986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT W COLLINS III M.D.
Provider Business Mailing Address
First Line : 2250 LEESTOWN RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1052
Country : US
Telephone Number : 859-281-4971
Fax Number :
Provider Business Practice Location Address
First Line : 2250 LEESTOWN RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1052
Country : US
Telephone Number : 859-281-4971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 07/08/2007

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