Individual
MR. ROBERT RITCHIE VANBUSSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 NICHOLASVILLE RD, ST 603, LEXINGTON, KY 40503-1471
(859) 277-3636
(859) 277-7575
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22065
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64220650
—
KY
Enumeration date
06/01/2005
Last updated
12/18/2020
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