Penn, Robert Lee

Penn, Robert Lee is an individual health care provider with primary practice located at 998 S Highway 25 W , Williamsburg KY 40769-1692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Penn, Robert Lee can be contacted via phone (606) 549-8154.

Contact Information

Primary practice address
998 S Highway 25 W Williamsburg KY 40769-1692
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TP430 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46230 Tennessee

Profile Details

NPI number 1649228438
LBN Legal business name Penn, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 14th, 2011 - about 15 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 1649228438 NPPES
Kentucky MEDICAID 7100134910

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