Individual
RONALD L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST, SUITE 701, LOUISVILLE, KY 40202-3900
(502) 585-1557
(502) 629-5240
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16830
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002610A
—
IN
01
—
1056683
PASSPORT
KY
05
—
64168305
—
KY
Enumeration date
01/26/2006
Last updated
01/21/2021
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