Robert Conrad Egbert Jr., PA
Individual provider Active NPI Medical Physician Assistant · Fort Knox, KY
NPI 1073596565 · NPPES record last updated Oct 24, 2014
Key facts
- NPI
- 1073596565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 289 Ireland Ave
Irelandarmy Community Hospital
Fort Knox, KY 40121-5111 - Phone
- (502) 624-0406
- Fax
- (502) 624-0261
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
289 Ireland Ave
Irelandarmy Community Hospital
Fort Knox, KY 40121-5111
Mailing address
289 Ireland Ave
Irelandarmy Community Hospital
Fort Knox, KY 40121-5111
Other providers in Fort Knox, KY
- Travis Arron Dugan
- Ronald R Duke
- Judy D Dulin
- Rhonda L Earls
- Marie G Edling
- David James Ellis
- Lorraine Emory
- Richard Christopher Ennis
- Susan Laryssa Epperson
- Robert Gale Evans
All providers in Fort Knox, KY · Medical Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.