Individual
DR. JEFF S RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1401 HARRODSBURG RD, SUITE C-115, LEXINGTON, KY 40504-1764
(859) 278-8855
(859) 278-8856
Mailing address
1401 HARRODSBURG RD, SUITE C-115, LEXINGTON, KY 40504-1764
(859) 278-8855
(859) 278-8856
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
00362
KY
213ES0131X
Foot Surgery Podiatrist
Primary
PO3837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K002223
MEDICARE PTAN
KY
Enumeration date
04/29/2010
Last updated
04/26/2017
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