Individual
ROBERT EDWARD SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3470 BLAZER PKWY, LEXINGTON, KY 40509-1200
(859) 323-6021
Mailing address
245 FOUNTAIN COURT SUITE 225, LEXINGTON, KY 40509
(859) 257-7910
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
31351
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
31351
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64313513
—
KY
Enumeration date
10/24/2006
Last updated
02/04/2015
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