Individual
RUDOLPH F LICANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 KRESGE WAY, STE 60, LOUISVILLE, KY 40207-4660
(502) 893-7710
(502) 893-1884
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23908
KY
207RI0011X
Interventional Cardiology Physician
Primary
23908
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64239080
—
KY
Enumeration date
07/11/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us