Individual
RICK LOUDERMELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, DPH, RD, LD
Contact information
Practice address
475 N HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1576
(606) 215-6352
(877) 792-5105
Mailing address
PO BOX 698, WILLIAMSBURG, KY 40769-0698
(606) 215-6352
(877) 792-5105
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2083
KY
183500000X
Pharmacist
11957
TN
183500000X
Pharmacist
12249
AL
183500000X
Pharmacist
12304
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11896924
CAQH
—
Enumeration date
03/26/2008
Last updated
11/28/2010
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