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Individual

DR. ROBERT PAUL KNETSCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
236 W MAIN ST, SUITE 202, DANVILLE, KY 40422-1876
(859) 238-7746
(859) 236-0261
Mailing address
236 W MAIN ST, SUITE 202, DANVILLE, KY 40422-1876
(859) 238-7746
(859) 236-0261

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
42368
KY
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100090390
KY
Enumeration date
08/30/2006
Last updated
04/15/2010
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