Provider Demographics
NPI:1801152434
Name:ROBY, STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:ROBY
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 1:2200 E PARRISH AVE BLDG A
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1453
Mailing Address - Country:US
Mailing Address - Phone:270-926-2273
Mailing Address - Fax:270-684-3212
Practice Address - Street 1:2200 E PARRISH AVE BLDG A
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1453
Practice Address - Country:US
Practice Address - Phone:270-926-2273
Practice Address - Fax:270-684-3212
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY48529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine