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Individual

DR. ROBERT ANTHONY PADGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
289 IRELAND AVE, PEDIATRIC CLINIC, FORT KNOX, KY 40121-5111
(502) 624-9333
Mailing address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
13933
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64139330
KY
Enumeration date
02/24/2008
Last updated
02/24/2008
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