# ROBERT P GRANACHER JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568588218
- **Gender:** Man
- **Credential:** MD

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 04/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64169881 | — | KY |