Individual
RICHARD PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N SENATE AVE, INDIANAPOLIS, IN 46204-1244
(502) 587-4231
Mailing address
PO BOX 7159, LOUISVILLE, KY 40257-0159
(502) 896-9793
(502) 896-6695
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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