Individual
DR. ROBERT KENNETH OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 REDSTONE AVE W, CRESTVIEW, FL 32536-6439
(850) 683-0003
Mailing address
2900 S HIGHWAY 77, LYNN HAVEN, FL 32444-5612
(850) 481-1687
(850) 640-0761
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
ME109647
FL
207RH0003X
Hematology & Oncology Physician
TMP2722
WV
207RX0202X
Medical Oncology Physician
Primary
ME109647
FL
Other
Enumeration date
09/17/2005
Last updated
07/21/2022
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