Individual
ROBERT SOPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 LANDMARK DR, SUITE 100, BELLEVUE, KY 41073-1393
(859) 431-0090
(859) 431-3168
Mailing address
334 THOMAS MORE PKWY, SUITE 200, CRESTVIEW HILLS, KY 41017-3464
(859) 957-1080
(859) 957-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18590
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080092519
RAILROAD MEDICARE
KY
05
—
0993466
—
OH
05
—
64185903
—
KY
01
—
P00856636
RAILROAD MEDICARE
KY
Enumeration date
06/23/2006
Last updated
11/10/2010
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