Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 50871 | KY |
N | 207RH0000X | Hematologist | MD 422827 | PA |
N | 207RH0000X | Hematologist | MD.205855 | LA |
NPI | 1407844574 |
---|---|
Provider Name | Robert Van Buren Emmons |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-3229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 11/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08003322 | (05) | MS |
1008228280001 | (05) | PA |
2319086 | (05) | LA |
300011546 | (05) | IN |
7100514360 | (05) | KY |
G44350 | (02) |