Individual
RICHARD W MEDLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 FREDERICA ST, OWENSBORO, KY 42301-3057
(270) 683-8858
Mailing address
1220 FREDERICA ST, OWENSBORO, KY 42301-3057
(270) 683-8858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13758
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068534
ANTHEM
KY
05
—
64137581
—
KY
Enumeration date
08/11/2006
Last updated
03/07/2023
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