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Individual

RONA JEAN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 852-1951
(502) 852-5098
Mailing address
PO BOX 3367, LOUISVILLE, KY 40201-3367
(502) 813-6655
(502) 813-6665

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29730
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200466850
IN
01
396637
TRICARE
KY
05
64297302
KY
Enumeration date
04/14/2006
Last updated
01/29/2013
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