| Robert L Wyenandt Jr,md Pllc | |
|
2156 Chamber Center Dr Lakeside Park KY 41017-1669 | |
| (859) 341-6255 | |
| (859) 547-1197 |
| Full Name | Robert L Wyenandt Jr,md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2156 Chamber Center Dr, Lakeside Park, Kentucky |
| Authorized Official Name and Position | Robert L Wyenandt (OWNER) |
| Authorized Official Contact | 8593416255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Wyenandt Jr,md Pllc 2156 Chamber Center Dr Lakeside Park KY 41017-1669 Ph: (859) 341-6255 | Robert L Wyenandt Jr,md Pllc 2156 Chamber Center Dr Lakeside Park KY 41017-1669 Ph: (859) 341-6255 |
| NPI Number | 1538159751 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538159751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |