Individual
ROBERT P MASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., A.R.N.P
Contact information
Practice address
225 MEDICAL CENTER DR, PADUCAH, KY 42003-7914
(270) 441-4500
(270) 441-4289
Mailing address
455 LOVELACEVILLE FLORENCE STA E, PADUCAH, KY 42003-3580
(270) 534-1284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3000020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227158
ANTHEM
KY
05
—
74223199
—
KY
01
—
P01139334
RAIL ROAD MEDICARE
KY
Enumeration date
02/01/2007
Last updated
09/04/2015
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