Individual
MOLLY ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9880 ANGIES WAY STE 250, LOUISVILLE, KY 40241-2865
(502) 394-6341
(502) 394-6340
Mailing address
3605 NORTHGATE CT STE 204, NEW ALBANY, IN 47150-6422
(812) 207-2130
(812) 207-2140
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002406A
IN LICENSE
IN
01
—
PA2333
KY LICENSE
KY
Enumeration date
02/06/2018
Last updated
07/25/2019
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