Mabry, Robert Timothy

Mabry, Robert Timothy is an individual health care provider with primary practice located at 2501 Kentucky Ave , Paducah KY 42003-3813. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mabry, Robert Timothy can be contacted via phone (270) 744-9600.

Contact Information

Primary practice address
2501 Kentucky Ave Paducah KY 42003-3813
Phone: (270) 744-9600
Fax: (270) 744-0834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33994 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33994 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 33994 Kentucky

Profile Details

NPI number 1043213820
LBN Legal business name Mabry, Robert Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 7th, 2013 - about 11 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 1043213820 NPPES
Kentucky MEDICAID 64035553

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