Individual
DR. ROBERT J PETROKUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12500 MAYO CT, PROSPECT, KY 40059-9159
(502) 228-2793
(502) 228-2793
Mailing address
12500 MAYO CT, PROSPECT, KY 40059-9159
(502) 228-2793
(502) 228-2793
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
30771
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64307713
—
KY
Enumeration date
05/25/2006
Last updated
04/08/2014
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