Organization
ROBERT P. GRANACHER, JR. MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT P GRANACHER JR. MD (PRESIDENT)
(859) 277-5213
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, SUITE A-400, LEXINGTON, KY 40504-3751
(859) 277-5213
(859) 277-5413
Mailing address
1401 HARRODSBURG RD, SUITE A-400, LEXINGTON, KY 40504-3751
(859) 277-5213
(859) 277-5413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16988
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64169881
—
KY
Enumeration date
07/18/2007
Last updated
12/12/2007
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