Individual
ROBERT VAN BUREN EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 S JACKSON ST, LOUISVILLE, KY 40202-3229
(502) 562-4363
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
50871
KY
207RH0000X
Hematology (Internal Medicine) Physician
MD 422827
PA
207RH0000X
Hematology (Internal Medicine) Physician
MD.205855
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08003322
—
MS
05
—
1008228280001
—
PA
05
—
2319086
—
LA
05
—
300011546
—
IN
05
—
7100514360
—
KY
Enumeration date
10/12/2005
Last updated
10/11/2018
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