Individual
CHARLES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 CHANCELLOR DR, CRESTVIEW HILLS, KY 41017-3418
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
48818
KY
207L00000X
Anesthesiology Physician
D69123
MD
207LA0401X
Addiction Medicine (Anesthesiology) Physician
D69123
MD
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
D69123
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
48818
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
48818
KY
Other
Enumeration date
07/28/2006
Last updated
06/08/2022
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