Individual
ROGER K COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4305 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-9019
(502) 350-5000
Mailing address
PO BOX 1160, BARDSTOWN, KY 40004-4160
(859) 276-6611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1053494
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000271994
BCBS
KY
05
—
74346503
—
KY
Enumeration date
05/28/2006
Last updated
09/23/2011
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