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Individual

RICHARD LARRY GASTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 301-8074
(859) 212-4357
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945

Taxonomy

Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
48502
KY
208M00000X
Hospitalist Physician
Primary
48502
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144763
OH
05
201358060
IN
05
7100385920
KY
Enumeration date
06/29/2009
Last updated
06/27/2025
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