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Individual
RICHARD N MEDLEY III
Active
Individual
RICHARD N MEDLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01043575A
IN
208800000X
Urology Physician
29716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200122970
—
IN
01
—
340013659
RR MCR
KY
05
—
64297161
—
KY
01
—
P00229858
RR MCR
IN
Enumeration date
10/04/2005
Last updated
01/03/2020
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