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PRICE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4305 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-9019
(502) 350-5022
Mailing address
PO BOX 936, LONDON, KY 40743-0936

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3006791
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100155480
KY
Enumeration date
02/17/2011
Last updated
08/21/2019
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