Individual
DR. JOHN R SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
793 EASTERN BYP, G2, RICHMOND, KY 40475-2422
(859) 626-0074
(859) 626-3265
Mailing address
793 EASTERN BYP, G2, RICHMOND, KY 40475-2422
(859) 626-0074
(859) 626-3265
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
03050
KY
2085R0001X
Radiation Oncology Physician
10311
ND
2085R0001X
Radiation Oncology Physician
34.008732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082508
—
OH
05
—
7100024870
—
KY
01
—
PO1231527
RR MEDICARE
OH
Enumeration date
10/05/2006
Last updated
05/10/2024
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