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Individual

JOHN BAYARD RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
189 OUTER LOOP, LOUISVILLE, KY 40214-5544
(502) 363-1731
(502) 364-9272
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24705
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000240875
ANTHEM / NCMA
KY
01
000028412A
HUMANA / NCMA
KY
01
019321
SIHO / NCMA
KY
01
110242746
RAILROAD MEDICARE
KY
01
1166616
PASSPORT / NCMA
KY
01
1200096
CHA / NCMA
KY
01
1676773
CIGNA / NCMA
KY
05
200094920
IN
01
244059000
PASSPORT ADVANTAGE / NCMA
KY
05
64247059
KY
Enumeration date
07/28/2006
Last updated
01/21/2021
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