Provider Demographics
NPI:1922578160
Name:SLOCUM, ROBERT B (PHD, DMIN)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:SLOCUM
Suffix:
Gender:M
Credentials:PHD, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WHITNEY-HENDRICKSON BUILDING 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-4325
Mailing Address - Fax:
Practice Address - Street 1:WHITNEY-HENDRICKSON BUILDING 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist