Individual
RICHARD E PAULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 23RD ST, STE 230, ASHLAND, KY 41101-2876
(606) 324-4745
(606) 326-0165
Mailing address
PO BOX 2380, ASHLAND, KY 41105-2380
(606) 324-4745
(606) 326-0165
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29247
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049963
ANTHEM BLUECROSS & BLUESH
KY
01
—
000733000
MT STATE BCBS
WV
05
—
0086372000
—
WV
05
—
0906416
—
OH
05
—
64002470
—
KY
Enumeration date
10/19/2005
Last updated
04/29/2009
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