Individual
ROBERT BAIRD NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-4888
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27572
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64275720
—
KY
Enumeration date
06/26/2006
Last updated
07/08/2007
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