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Individual

ROBERT P GRANACHER JR.

Active
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Individual

ROBERT P GRANACHER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
16988
KY
2084N0400X
Neurology Physician
16988
KY
2084P0805X
Geriatric Psychiatry Physician
Primary
16988
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
16988
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64169881
—
KY
Enumeration date
03/22/2007
Last updated
04/17/2013
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