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Individual

DR. RICK ANTHONY PELLANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 LONDON MOUNTAIN VIEW DR FL 1, LONDON, KY 40741-6668
(859) 275-5229
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
03155
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001313601
ANTHEM PROVIDER ID
01
00825001
MEDICARE
KY
01
133941KYIP
AETNA BETTER HEALTH OF KY PROVIDER ID
KY
01
2064077
WELLCARE OF KY PROVIDER ID
KY
01
2970041
UNITED HEALTHCARE PROVIDER ID NUMBER
05
300031398
IN
05
7100062440
KY
01
CS2005900276
CARESOURCE PROVIDER ID
Enumeration date
05/01/2006
Last updated
06/09/2022
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