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TADARRO L RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 W LOWRY LN, LEXINGTON, KY 40503-3018
(859) 334-1550
(877) 471-2996
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168

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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