Individual
RAYMOND A ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
108 LEBANON AVE, CAMPBELLSVILLE, KY 42718-1839
(270) 789-0060
(270) 465-0307
Mailing address
108 LEBANON AVE, CAMPBELLSVILLE, KY 42718-1839
(270) 789-0060
(270) 465-0307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4212
KY
111NN1001X
Nutrition Chiropractor
4212
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000073
—
KY
Enumeration date
02/08/2006
Last updated
04/14/2008
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