Individual
DR. ROBERT T FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 23RD ST STE 210, ASHLAND, KY 41101-2868
(606) 326-9847
(606) 324-3418
Mailing address
200 PRINCESS DR, ASHLAND, KY 41101-2190
(606) 922-3103
(606) 922-3103
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.122826
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
37173
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001417000
—
WV
05
—
2292648
—
OH
05
—
64044886
—
KY
01
—
CJ6802
PALMETTO
KY
Enumeration date
08/10/2005
Last updated
11/24/2020
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