Individual
HARRY M RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST, # C07, LOUISVILLE, KY 40202-1675
(502) 852-5875
(502) 852-1754
Mailing address
PO BOX 21249, LOUISVILLE, KY 40221-0249
(502) 581-1500
(502) 540-4959
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
32348
KY
2085P0229X
Pediatric Radiology Physician
32348
KY
2085R0202X
Diagnostic Radiology Physician
Primary
32348
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322913
ANTHEM
KY
05
—
200375440
—
IN
05
—
64048648
—
KY
01
—
P00186940
RAILROAD MEDICARE
KY
Enumeration date
06/13/2005
Last updated
10/07/2016
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