Individual
ROBERT P GRANACHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD, SUITE A 400, LEXINGTON, KY 40504
(859) 277-5213
(859) 277-5413
Mailing address
1401 HARRODSBURG RD, SUITE A 400, LEXINGTON, KY 40504
(859) 277-5213
(859) 277-5413
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
16988
KY
2084N0400X
Neurology Physician
16988
KY
2084P0805X
Geriatric Psychiatry Physician
Primary
16988
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
16988
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64169881
—
KY
Enumeration date
03/22/2007
Last updated
04/17/2013
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