Individual
MRS. ELLEN GOFF ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 STERLING WAY, STE 1, MT STERLING, KY 40353
(859) 498-0200
(859) 498-5812
Mailing address
100 STERLING WAY, STE 1, MT STERLING, KY 40353
(859) 498-0200
(859) 498-5812
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20803
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353871
ANTHEM
KY
05
—
64208036
—
KY
Enumeration date
12/02/2005
Last updated
07/08/2007
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