Organization
RAYMOND A. ROBERTS, D.C., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND A ROBERTS D.C. (PRESIDENT)
(270) 789-0060
Entity
Organization
Contact information
Practice address
108 LEBANON AVE, CAMPBELLSVILLE, KY 42718-1839
(270) 789-0060
(270) 465-0307
Mailing address
108 LEBANON AVE, CAMPBELLSVILLE, KY 42718-1839
(270) 789-0060
(270) 465-0307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4212
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85900074
—
KY
Enumeration date
08/05/2008
Last updated
08/05/2008
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