# LAUREL COUNTY PHYSIATRY AND PAIN LLC

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

## Provider details

- **NPI number:** 1770935041
- **Authorized official:** GAY B RICHARDSON M.D. (MD / OWNER)
- **Authorized official phone:** (606) 260-8345

## Contact information

- **Practice address:** 130 THOMPSON POYNTER RD, SUITE 3, LONDON, KY 40741-7280
- **Practice address phone:** (606) 260-8345
- **Practice address fax:** (606) 260-8352
- **Mailing address:** 130 THOMPSON POYNTER RD, SUITE 3, LONDON, KY 40741-7280
- **Mailing address phone:** (606) 260-8345
- **Mailing address fax:** (606) 260-8352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 34056 | KY | Yes |

## Other

- **Enumeration date:** 07/11/2016
- **Last updated:** 01/05/2017
