Individual
RICHARD IRA ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 781-3110
(859) 441-1418
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(513) 621-2445
(513) 621-2513
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30910
KY
207W00000X
Ophthalmology Physician
35 06 2541 A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0874924
—
OH
01
—
64939945
MEDICAID
KY
Enumeration date
11/15/2005
Last updated
12/10/2021
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