Individual
MRS. AMY KATHLEEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1023 NEW MOODY LN, SUITE 103, LA GRANGE, KY 40031-9177
(502) 222-5558
(502) 222-3040
Mailing address
2700 STANLEY GAULT PKWY, STE 129, LOUISVILLE, KY 40223-5132
(502) 253-4917
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
38985
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
38985
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64087778
—
KY
Enumeration date
06/03/2006
Last updated
12/08/2020
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