Individual
DR. PETER T ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2645 N LAUREL RD, LONDON, KY 40741-9075
(606) 843-6195
(606) 843-6222
Mailing address
PO BOX 495, EAST BERNSTADT, KY 40729-0495
(606) 843-6195
(606) 843-6222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23757
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047128
BCBS-LCMC
KY
01
—
000000068618
BCBS-EBMC
KY
01
—
000000107860
BCBS-BSMC
KY
01
—
000000107907
BCBS-AMC
KY
05
—
64237571
—
KY
Enumeration date
08/18/2005
Last updated
11/29/2007
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