Bautista, Robert-Marlo Felicilda

Bautista, Robert-Marlo Felicilda is an individual health care provider with primary practice located at 2501 Kentucky Ave , Paducah KY 42003-3813. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bautista, Robert-Marlo Felicilda can be contacted via phone (562) 338-7276.

Contact Information

Primary practice address
2501 Kentucky Ave Paducah KY 42003-3813
Phone: (562) 338-7276
Fax: (859) 257-8934
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 58628 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X R3708 Kentucky

Profile Details

NPI number 1194107615
LBN Legal business name Bautista, Robert-Marlo Felicilda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2015
Last updated Dec 13th, 2023 - about 3 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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