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Individual

RICHARD PAULSEN

Active
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Individual

RICHARD PAULSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32129
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000209077
ANTHEM BLUE FACET
KY
05
009933837
AL
05
1148146
KY
01
200343520
MANAGED HEALTH SERVICES
KY
05
200343520
IN
05
2564943
OH
05
3810004750
WV
05
64037963
KY
05
9097732-00
FL
Enumeration date
08/03/2006
Last updated
12/13/2018
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