Individual
DR. RONALD B ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PSC
Contact information
Practice address
1623 NASHVILLE ST, SUITE 201, RUSSELLVILLE, KY 42276-8889
(270) 726-3303
(270) 726-3910
Mailing address
1623 NASHVILLE ST, SUITE 201, RUSSELLVILLE, KY 42276-8889
(270) 726-3303
(270) 726-3910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34620
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065383
ANTHEM
KY
05
—
1010779800001
—
PA
01
—
1631299
FIRST HEALTH NETWORK
KY
01
—
2364418006
CIGNA
KY
01
—
23J8
ANTHEM FEP
KY
01
—
48417
PHCS
KY
01
—
5076198
AETNA US HEALTHCARE (MC)
KY
01
—
611349692
NATIONAL TELEPHONE COOPER
KY
05
—
64346208
—
KY
Enumeration date
07/05/2005
Last updated
06/05/2014
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