Individual
DR. MARLENE K RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1485 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3356
(270) 789-2155
(270) 789-0693
Mailing address
1485 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3356
(270) 789-2155
(270) 789-0693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
395470
KY
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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