Individual
ROBERT N TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
413 SOUTH LOOP ROAD, EDGEWOOD, KY 41017-5446
(859) 301-3800
(859) 301-3987
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 781-4111
(859) 441-5214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26618
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101286
—
OH
01
—
080092534
RAILROAD MEDICARE
KY
05
—
64266182
—
KY
01
—
P00839856
RAILROAD MEDICARE
KY
Enumeration date
07/06/2006
Last updated
08/30/2022
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