Individual
NATHAN BOONE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 CHARLESTOWN XING, SUITE D, NEW ALBANY, IN 47150-8302
(812) 945-5653
(855) 656-7325
Mailing address
9800 SHELBYVILLE RD, SUITE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01071200A
IN
207K00000X
Allergy & Immunology Physician
Primary
45401
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201082460
—
IN
05
—
7100209280
—
KY
Enumeration date
05/08/2007
Last updated
03/16/2021
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