Organization
ROBERT L WYENANDT JR,MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L WYENANDT JR. MD (OWNER)
(859) 341-6255
Entity
Organization
Contact information
Practice address
2156 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 341-6255
(859) 547-1197
Mailing address
2156 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 341-6255
(859) 547-1197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2005
Last updated
02/19/2008
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