Individual
SANDRA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1451 HARRODSBURG RD, BUILDING D, SUITE 102, LEXINGTON, KY 40504-3758
(859) 276-2525
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64253743
—
KY
Enumeration date
08/26/2005
Last updated
10/21/2014
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