# ROBERT BYRD MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639629389
- **Authorized official:** DR. ROBERT BYRD (OWNER)
- **Authorized official phone:** (270) 360-0008

## Contact information

- **Practice address:** 1310 NEW CUT RD, BOWLING GREEN, KY 42103-8404
- **Practice address phone:** (270) 360-0008
- **Mailing address:** 1811 N DIXIE AVE, SUITE 104, PMB\# 130, ELIZABETHTOWN, KY 42701-5554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 34304 | KY | Yes |

## Other

- **Enumeration date:** 10/06/2016
- **Last updated:** 11/11/2016