Provider Demographics
NPI:1356307011
Name:ROBBE, FREDERICK G III (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:G
Last Name:ROBBE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 KEETON DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-8756
Mailing Address - Country:US
Mailing Address - Phone:270-889-0701
Mailing Address - Fax:270-889-0556
Practice Address - Street 1:105 KEETON DR
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8756
Practice Address - Country:US
Practice Address - Phone:270-889-0701
Practice Address - Fax:270-889-0556
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35251207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64088487Medicaid
KY0928303Medicare ID - Type Unspecified
KY64088487Medicaid