Individual
HENRY CHARLES TYLER RICHMOND IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 NICHOLASVILLE RD STE 400, LEXINGTON, KY 40503-1475
(859) 277-5887
(859) 276-7659
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.117248
IL
207RC0000X
Cardiovascular Disease Physician
44170
KY
207RI0011X
Interventional Cardiology Physician
Primary
44170
KY
208M00000X
Hospitalist Physician
01067782A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100182170
—
KY
Enumeration date
03/05/2007
Last updated
12/08/2020
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