Individual
DR. JAROD ALLEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 W HEBRON LN, SHEPHERDSVILLE, KY 40165-7465
(502) 955-3312
(502) 955-3313
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 955-3312
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2023015205
MO
207X00000X
Orthopaedic Surgery Physician
Primary
58994
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
58994
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100638800
—
KY
Enumeration date
03/23/2018
Last updated
11/08/2024
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