Individual
DR. ROBERT EDWARD MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
K712DT
KY
Other
Enumeration date
11/21/2006
Last updated
11/13/2008
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