Individual
ANDREW RUSSELL ROADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UK UNIVERSITY HEALTH SERVICE, 830 S LIMESTONE, LEXINGTON, KY 40508
(859) 323-5511
Mailing address
245 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 323-6021
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
50462
KY
2084P0804X
Child & Adolescent Psychiatry Physician
R3538
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50462
FULL MEDICAL LICENSE
KY
05
—
7100312660
—
KY
Enumeration date
04/29/2013
Last updated
07/31/2018
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