Wyenandt, Robert L

Wyenandt, Robert L is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wyenandt, Robert L can be contacted via phone (859) 301-8074.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-8074
Fax: (859) 301-4945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30652 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 30652 Kentucky

Profile Details

NPI number 1326035635
LBN Legal business name Wyenandt, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 10th, 2022 - about 2 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 1326035635 NPPES
Kentucky MEDICAID 64306525
Kentucky MEDICAID 200407630
Kentucky MEDICAID 2401243
Kentucky Other P01555163

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