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Individual

RICHARD B SEITHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 737-1212
Mailing address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 737-1212

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
28446
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11317421
CAQH
05
64284466
KY
01
920006054
RAILROAD MEDICARE
KY
Enumeration date
10/31/2006
Last updated
05/14/2008
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