Individual
TADARRO L RICHARDSON
Active
Individual
TADARRO L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047826
ANTHEM BLUE SHIELD
KY
01
—
0037678
MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT
KY
01
—
110031156
RAILROAD MEDICARE
KY
01
—
1284109
UMWA
KY
01
—
1404232
UMWA
KY
01
—
61-1012421
TPN CONTRACTS
KY
01
—
611012421
AETNA
KY
01
—
611012421C
HUMANA
KY
05
—
64-203599
—
KY
01
—
C68011
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
08/24/2005
Last updated
02/12/2026
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