Individual
EARL GLEN ROBBINS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3225 SUMMIT SQUARE PL STE 100, LEXINGTON, KY 40509-2658
(859) 266-7999
(859) 269-6960
Mailing address
3225 SUMMIT SQUARE PL STE 100, LEXINGTON, KY 40509-2658
(859) 266-7999
(859) 269-6960
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31908
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052178
ANTHEM PIN
KY
01
—
0169
LEXINGTON CLINIC MCR GROUP ID
KY
05
—
64319080
—
KY
01
—
65923740
LEXINGTON CLINIC MEDICAID GROUP ID
KY
01
—
K022190
MEDICARE PTAN
KY
Enumeration date
12/28/2005
Last updated
05/07/2018
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