Individual
DONNA M ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 S JACKSON ST, 1ST FLOOR, LOUISVILLE, KY 40202
(502) 562-6503
(502) 562-6504
Mailing address
501 E BROADWAY, SUITE 290, LOUISVILLE, KY 40202-1785
(502) 217-8221
(502) 217-5056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22351
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037840
—
IN
05
—
64223514
—
KY
Enumeration date
05/15/2006
Last updated
01/12/2010
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