Individual
ROBERTO CARDARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2195 HARRODSBURG RD, SUITE 125, LEXINGTON, KY 40504-3504
(859) 257-8562
(859) 323-6661
Mailing address
2195 HARRODSBURG RD, SUITE 125, LEXINGTON, KY 40504-3504
(859) 257-8562
(859) 323-6661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03612
KY
207Q00000X
Family Medicine Physician
L8295
TX
207Q00000X
Family Medicine Physician
TP366
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166541601
—
TX
01
—
8P5410
BCBS
TX
01
—
P00139489
RAILROAD MEDICARE PIN
TX
Enumeration date
03/16/2006
Last updated
04/21/2015
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