Individual
ROBERT A BANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
101 STONECREST RD, SUITE 1, SHELBYVILLE, KY 40065-8169
(502) 633-2233
(502) 633-3833
Mailing address
101 STONECREST RD, SUITE 1, SHELBYVILLE, KY 40065-8169
(502) 633-2233
(502) 633-3833
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
643P
KY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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