# ROBERT P. GRANACHER, JR. MD, PSC

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

## Provider details

- **NPI number:** 1982804050
- **Authorized official:** DR. ROBERT P GRANACHER JR. MD (PRESIDENT)
- **Authorized official phone:** (859) 277-5213

## Contact information

- **Practice address:** 1401 HARRODSBURG RD, SUITE A-400, LEXINGTON, KY 40504-3751
- **Practice address phone:** (859) 277-5213
- **Practice address fax:** (859) 277-5413
- **Mailing address:** 1401 HARRODSBURG RD, SUITE A-400, LEXINGTON, KY 40504-3751
- **Mailing address phone:** (859) 277-5213
- **Mailing address fax:** (859) 277-5413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 16988 | KY | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 12/12/2007

## Other identifiers

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