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Individual

ROBERT J KLICKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7000 DIXIE HWY, FLORENCE, KY 41042-2010
(859) 282-2024
(859) 282-6747
Mailing address
7000 DIXIE HWY, FLORENCE, KY 41042-2010
(859) 282-2024
(859) 282-6747

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
41232
KY
208VP0014X
Interventional Pain Medicine Physician
35094827
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
41232
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3091372
OH
05
7100038250
KY
Enumeration date
07/10/2006
Last updated
10/14/2024
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