Individual
ROBERT STEPHEN CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-5991
(502) 629-5991
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 629-5991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49176
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201397750
—
IN
05
—
7100306810
—
KY
Enumeration date
04/24/2013
Last updated
11/29/2016
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