RAYMOND A. ROBERTS, D.C., PSC (NPI# 1700042116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700042116 |
| Entity Type | Organization |
| Organization Name | RAYMOND A. ROBERTS, D.C., PSC |
| Practice Address |
108 Lebanon Ave Campbellsville KY 42718-1839 |
| Practice Telephone | 2707890060 |
| Practice Fax Number | 2704650307 |
| Mailing Telephone | 2707890060 |
| Mailing Fax Number | 2704650307 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | DR. RAYMOND A ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 2707890060 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4212 | KY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 85900074 | 05 |
| Street Address |
108 LEBANON AVE |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930742 | Raymond A Roberts | Chiropractor | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | 2006-02-08 |
| 1326695248 | Kelly Suzanne Noel | Massage Therapist | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | 2019-08-26 |
| 1033437744 | Kendal Harden | Massage Therapist | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | 2010-05-06 |
| 1043537210 | Beth T Hollingsworth | Massage Therapist | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | 2010-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407126303 | Samuel L Yoder | Chiropractor | 101 Winston Way Ste B, Campbellsville, KY 42718-4953 | 2012-01-09 |
| 1821228081 | Stephen Walter Shaw | Chiropractor | 1900 Greensburg Rd, Campbellsville, KY 42718-8448 | 2009-07-22 |
| 1861603037 | Dr. Kevin Richerson, D.c.,psc | Chiropractor | 1997 Old Lebanon Rd, Campbellsville, KY 42718-9665 | 2007-05-26 |
| 1801989330 | Julie Ann Michael | Chiropractor | 404 S Columbia Ave, Campbellsville, KY 42718-2351 | 2006-10-02 |
| 1013922129 | Janna Leigh Gresham | Chiropractor | 100 Greenbriar Dr, Campbellsville, KY 42718-9613 | 2006-07-29 |
| 1518930742 | Raymond A Roberts | Chiropractor | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | 2006-02-08 |
| 1811977739 | James Kevin Richerson | Chiropractor | 202 Nancy Cox Dr, Campbellsville, KY 42718-8842 | 2006-01-18 |
| 1659813723 | Taylor County Chiropractic and Rehabilitation LLC | Chiropractor | 100 Greenbriar Dr, Campbellsville, KY 42718-9613 | 2016-11-07 |
| 1023374683 | Campbellsville Chiropractic LLC | Chiropractor | 101 Winston Way Ste B, Campbellsville, KY 42718-4953 | 2012-04-09 |
| 1528259330 | Julie A Johnson Chiropractic Center | Chiropractor | 404 S Columbia Ave, Campbellsville, KY 42718-2351 | 2007-08-06 |
| Find all providers in CAMPBELLSVILLE | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on RAYMOND A. ROBERTS, D.C., PSC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.