Individual
RICHARD SALISBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10870 MAIN STREET, MARTIN, KY 41649-7999
(606) 285-0005
(606) 285-0007
Mailing address
PO BOX 1473, MARTIN, KY 41649-1473
(606) 285-0005
(606) 285-0007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1194DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011948
—
KY
Enumeration date
10/10/2006
Last updated
12/09/2016
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