Individual
ROBERT B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2483 HIGHWAY 644, LOUISA, KY 41230
(606) 638-9451
Mailing address
PO BOX 1006, ASHLAND, KY 41105-1006
(866) 494-8267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120614000
—
WV
05
—
2234219
—
OH
05
—
64281389
—
KY
Enumeration date
01/25/2006
Last updated
12/05/2007
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