Individual
KENNETH HERBERT RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3515 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1009
(502) 459-3760
(502) 459-3717
Mailing address
PO BOX 950116, LOUISVILLE, KY 40295-0116
(502) 893-0159
(502) 213-3884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
KY
207Y00000X
Otolaryngology Physician
Primary
24518
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045107
BCBS
KY
05
—
64245186
—
KY
Enumeration date
06/21/2005
Last updated
06/02/2014
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