Individual
ROBERT RAY PENKAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
Mailing address
2754 SOLUTION CTR, CHICAGO, IL 60677-2007
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2541762
—
OH
05
—
3810001263
—
WV
05
—
64349665
—
KY
Enumeration date
11/07/2006
Last updated
09/22/2015
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