Provider Demographics
NPI:1346269933
Name:REAMS, ROBIN A (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:A
Last Name:REAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 CUMBERLAND FALLS HWY
Mailing Address - Street 2:SUITE U2
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2743
Mailing Address - Country:US
Mailing Address - Phone:606-523-2200
Mailing Address - Fax:606-528-6653
Practice Address - Street 1:1707 CUMBERLAND FALLS HWY
Practice Address - Street 2:SUITE U2
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2743
Practice Address - Country:US
Practice Address - Phone:606-523-2200
Practice Address - Fax:606-528-6653
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY220572085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4000501OtherMEDICARE LAB GROUP
KYCA5414OtherRR MEDICARE GROUP
KY37903705OtherMEDICAID LAB GROUP
KY64220577Medicaid
KYP00107595OtherRR MEDICARE PIN
KYCA5414OtherRR MEDICARE GROUP
KY37903705OtherMEDICAID LAB GROUP