1831368216 NPI number — ROBERT W. LINKER III, MD, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831368216 NPI number — ROBERT W. LINKER III, MD, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT W. LINKER III, MD, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831368216
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3900 KRESGE WAY
Provider Second Line Business Mailing Address:
STE 46
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40207-4660
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-899-3858
Provider Business Mailing Address Fax Number:
502-899-3878

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3950 KRESGE WAY
Provider Second Line Business Practice Location Address:
STE 303
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40207-4637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-899-3858
Provider Business Practice Location Address Fax Number:
502-899-3878
Provider Enumeration Date:
02/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LINKER
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
W
Authorized Official Title or Position:
OWNER/PHYSICIAN
Authorized Official Telephone Number:
502-899-3858

Provider Taxonomy Codes

  • Taxonomy code: 208G00000X , with the licence number:  24882 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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