Pool, Roberta Lee

Pool, Roberta Lee is an individual health care provider with primary practice located at 140 Bryan Blvd , Corbin KY 40701-2775. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pool, Roberta Lee can be contacted via phone (606) 523-2005.

Contact Information

Primary practice address
140 Bryan Blvd Corbin KY 40701-2775
Fax: (606) 523-9704
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4101P Kentucky

Profile Details

NPI number 1194704049
LBN Legal business name Pool, Roberta Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Nov 18th, 2010 - about 14 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 1194704049 NPPES
Kentucky Other 000000601701 ANTHEM
Kentucky MEDICAID 78010717 ANTHEM

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