# ROBERT B CHAMBLISS MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N/A
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215099304
- **Authorized official:** DR. ROBERT BRYAN CHAMBLISS M.D. (OWNER)
- **Authorized official phone:** (270) 756-2258

## Contact information

- **Practice address:** 105 FAIRGROUNDS RD, HARDINSBURG, KY 40143
- **Practice address phone:** (270) 756-2258
- **Practice address fax:** (270) 756-1239
- **Mailing address:** 105 FAIRGROUNDS RD, HARDINSBURG, KY 40143
- **Mailing address phone:** (270) 756-2258
- **Mailing address fax:** (270) 756-1239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13585 | KY | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 11/29/2010
