Individual
ROBERT KEMP MYERS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1651
(270) 706-1058
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 351-2671
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518773
ANTHEM BCBS
KY
01
—
2843002000
PASSPORT ADVANTAGE
KY
01
—
4054074
CIGNA
KY
01
—
50014791
PASSPORT
KY
05
—
64172083
—
KY
Enumeration date
07/12/2006
Last updated
11/16/2007
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