Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 18925 | KY |
NPI | 1013010586 |
---|---|
Provider Name | Mr. Robert Greg Mcmorrow |
First Address | Lexington, KY 40504 |
Second Address | Lexington, KY 40504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 10/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6418925100 | (05) | KY |
C68362 | (02) |