Individual
DR. ROBB R SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3810 SPRINGHURST BLVD # 100, MERIDIAN BUILDING, LOUISVILLE, KY 40241-6100
(502) 897-9881
(502) 897-9824
Mailing address
3810 SPRINGHURST BLVD # 100, MERIDIAN BUILDING, LOUISVILLE, KY 40241-6100
(502) 897-9881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26845
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26845
LICENSE NUMBER
KY
05
—
6426845100
—
KY
Enumeration date
02/17/2006
Last updated
01/14/2021
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