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Organization

RICHARDS MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLEN RICHARDS MD (OWNER)
(502) 749-9550
Entity
Organization

Contact information

Practice address
1126 S 3RD ST, LOUISVILLE, KY 40203-2902
(502) 749-9550
(502) 749-9551
Mailing address
1126 S 3RD ST, LOUISVILLE, KY 40203-2902
(502) 749-9550
(502) 749-9551

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
13689
KY

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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