Petrokubi, Robert J

Petrokubi, Robert J is an individual health care provider with primary practice located at 12500 Mayo Ct , Prospect KY 40059-9159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Petrokubi, Robert J can be contacted via phone (502) 228-2793.

Contact Information

Primary practice address
12500 Mayo Ct Prospect KY 40059-9159
Phone: (502) 228-2793
Fax: (502) 228-2793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 30771 Kentucky

Profile Details

NPI number 1669428439
LBN Legal business name Petrokubi, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Apr 8th, 2014 - about 10 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 1669428439 NPPES
Kentucky MEDICAID 64307713

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