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Individual

JOE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1000
Mailing address
PO BOX 635009, CINCINNATI, OH 45263-5009
(800) 443-3672

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24023
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64240237
KY
Enumeration date
10/20/2006
Last updated
02/08/2008
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