Individual
MACY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
201 PETERSON DR, ELIZABETHTOWN, KY 42701-9370
(800) 545-9031
(859) 757-4501
Mailing address
PO BOX 6209, ELIZABETHTOWN, KY 42702-6209
(800) 545-9031
(859) 757-4501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4002542
KY
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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