Dennison, Robert Russell

Dennison, Robert Russell is an individual health care provider with primary practice located at 108 Hidden Grove Ln , Winchester KY 40391-8845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dennison, Robert Russell can be contacted via phone (859) 527-6601.

Contact Information

Primary practice address
108 Hidden Grove Ln Winchester KY 40391-8845
Phone: (859) 527-6601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD16062 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 16062 Kentucky

Profile Details

NPI number 1245394246
LBN Legal business name Dennison, Robert Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jun 24th, 2015 - about 9 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 1245394246 NPPES
Kentucky MEDICAID PENDING

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