Individual
ROBERT T PICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
104 HARDIN LN, STE # A, SOMERSET, KY 42503-3800
(606) 678-8323
(606) 451-0133
Mailing address
104 HARDIN LN, STE # A, SOMERSET, KY 42503-3800
(606) 678-8323
(606) 451-0133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA036
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203696
BCBS PHYS.ASSISTANT #
KY
05
—
9500002200
—
KY
01
—
970012785
MC RAILROAD #
KY
Enumeration date
10/31/2005
Last updated
04/14/2016
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