# R RITCHIE VAN BUSSUM MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205946951
- **Authorized official:** ROBERT RITCHIE VAN BUSSUM MD (OWNER PRESIDENT)
- **Authorized official phone:** (859) 277-3636

## Contact information

- **Practice address:** 1760 NICHOLASVILLE RD, STE 603, LEXINGTON, KY 40503-1474
- **Practice address phone:** (859) 277-2211
- **Practice address fax:** (859) 277-7575
- **Mailing address:** 1760 NICHOLASVILLE RD, STE 603, LEXINGTON, KY 40503-1474
- **Mailing address phone:** (859) 277-2211
- **Mailing address fax:** (859) 277-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 11/11/2008