Individual
ROBERT L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13328 SHELBYVILLE RD, LOUISVILLE, KY 40223
(502) 583-4700
(502) 583-8434
Mailing address
PO BOX 43905, LOUISVILLE, KY 40253-0905
(502) 583-4700
(502) 583-8434
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
091290A
IN
208100000X
Physical Medicine & Rehabilitation Physician
27076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001151932
MD2U KY- ANTHEM BCBS
KY
01
—
000001169938
NP SERV KY- ANTHEM BCBS
KY
01
—
10806556
CAQH
—
01
—
1558953
MD2U KY- WELLLCARE
KY
05
—
200024040
—
IN
01
—
25009894
MEDICARE RAILROAD
KY
05
—
64270762
—
KY
05
—
7100505590
—
KY
01
—
CH6974
IN MEDICARE RR GROUP #
IN
01
—
CI4364
KY MEDICARE RR GROUP #
KY
01
—
P02022282
MD2U KY- RAILROAD
KY
Enumeration date
06/09/2005
Last updated
10/01/2018
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