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Individual
ROBERT B HENDREN
Active
Individual
ROBERT B HENDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34676
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076257
ANTHEM
—
01
—
1106100
PASSPORT
KY
01
—
1106548
PASSPORT
KY
01
—
340017311
RAILROAD MEDICARE
KY
05
—
64880883
—
KY
05
—
65909285
—
KY
Enumeration date
10/05/2006
Last updated
04/20/2017
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