Individual
ROBERT RUSSELL MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 895-8911
(502) 895-8977
Mailing address
3950 KRESGE WAY, SUITE 308, LOUISVILLE, KY 40207-4637
(502) 895-9627
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47267
KY
Other
Enumeration date
04/07/2011
Last updated
10/28/2014
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