Provider Demographics
NPI:1013010586
Name:MCMORROW, ROBERT GREG (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:GREG
Last Name:MCMORROW
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 1:1401 HARRODSBURG RD
Mailing Address - Street 2:C 335
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504
Mailing Address - Country:US
Mailing Address - Phone:859-276-5355
Mailing Address - Fax:859-276-0055
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:C 335
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504
Practice Address - Country:US
Practice Address - Phone:859-276-5355
Practice Address - Fax:859-276-0055
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18925207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6418925100Medicaid
KY0040902Medicare PIN
KY6418925100Medicaid
KY4795830001Medicare NSC
C68362Medicare UPIN