Collard, Robert Kent

Collard, Robert Kent is an individual health care provider with primary practice located at 1700 Ring Rd , Elizabethtown KY 42701-9497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Collard, Robert Kent can be contacted via phone (270) 769-5551.

Contact Information

Primary practice address
1700 Ring Rd Elizabethtown KY 42701-9497
Phone: (270) 769-5551
Fax: (270) 765-3919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 23208 Kentucky

Profile Details

NPI number 1174522932
LBN Legal business name Collard, Robert Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174522932 NPPES
Kentucky Other 000000045855 ANTHEM BCBS
Kentucky MEDICAID 64232085 ANTHEM BCBS
Kentucky Other 1048763 ANTHEM BCBS

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