Individual
JAMES E REDMON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7430 JEFFERSON BLVD, STE 200, LOUISVILLE, KY 40219-6159
(502) 966-8675
(502) 966-8836
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18606
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000366964
ANTHEM / NMA
—
01
—
000023025E
HUMANA / NMA
—
01
—
061470
SIHO / NMA
—
01
—
1199955
CHA / NMA
—
01
—
2448450000
PASSPORT ADVANTAGE / NMA
—
01
—
2559676
CIGNA / NMA
—
01
—
50007291
PASSPORT / NMA
—
05
—
64186067
—
KY
01
—
P00248576
RAILROAD MEDICARE
KY
Enumeration date
04/21/2006
Last updated
11/07/2014
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