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Individual

MS. MELINDA KAY RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 852-5689
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007430
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000794625
ANTHEM BC/BS
KY
05
201114150
IN
01
50043898
PASSPORT
KY
05
7100217570
KY
Enumeration date
05/08/2012
Last updated
02/03/2021
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