Organization
JEFFREY B. RICHARDSON, M.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B. RICHARDSON MD (OWNER)
(270) 737-4503
Entity
Organization
Contact information
Practice address
2333 RING RD, ELIZABETHTOWN, KY 42701-9162
(270) 737-4503
(270) 769-1978
Mailing address
2333 RING RD, ELIZABETHTOWN, KY 42701-9162
(270) 737-4503
(270) 769-1978
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25905
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF9123
RAILROAD MEDICARE GROUP
—
Enumeration date
05/15/2006
Last updated
02/17/2010
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