Individual
DR. STEPHEN W RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31921
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057464
ANTHEM PROVIDER ID#
KY
01
—
000000713348
ANTHEM - NICC
KY
01
—
009394
SIHO - NICC
—
05
—
64319213
—
KY
Enumeration date
10/02/2006
Last updated
08/25/2014
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