Individual
DR. ROBERT EDWIN ELLIOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
851 CORPORATE DR, SUITE 203, LEXINGTON, KY 40503-5428
(859) 219-0090
(859) 219-0339
Mailing address
851 CORPORATE DR, SUITE 203, LEXINGTON, KY 40503-5428
(859) 219-0090
(859) 219-0339
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24615
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64246150
—
KY
Enumeration date
07/07/2005
Last updated
07/08/2007
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