Individual
MR. ROBERT PEAVLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 FERN ST, HORSE CAVE, KY 42749-1956
(270) 834-0349
(270) 659-0052
Mailing address
25 FERN ST, HORSE CAVE, KY 42749-1956
(270) 834-0349
(270) 659-0052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200102608
KY
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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