Individual
DR. ROBERT KEVIN LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 N HANCOCK AVE, ODESSA, TX 79761-5140
(432) 580-7373
(432) 580-3275
Mailing address
408 N HANCOCK AVE, ODESSA, TX 79761-5140
(432) 580-7373
(432) 580-3275
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K3317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079617901
—
TX
01
—
118257100
FIRSTCARE PROVIDER #
TX
Enumeration date
06/23/2005
Last updated
01/24/2011
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