Provider Demographics
NPI:1669473864
Name:BOYER, ROBERT L (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:BOYER
Suffix:
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 1:1125 SAMUEL CT
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-7774
Mailing Address - Country:US
Mailing Address - Phone:859-384-9468
Mailing Address - Fax:
Practice Address - Street 1:1019 MAJESTIC DR
Practice Address - Street 2:STE 270
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1496
Practice Address - Country:US
Practice Address - Phone:859-446-5603
Practice Address - Fax:859-223-0494
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY263232083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0655087Medicare ID - Type Unspecified
KYK100610Medicare PIN
C87391Medicare UPIN