Individual
MR. RICKY EVERSOLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 301-6910
Mailing address
P.O. BOX 636324, CINCINNATI, OH 45263-6324
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3018133
KY
363L00000X
Nurse Practitioner
71014878A
IN
363LA2100X
Acute Care Nurse Practitioner
3018133
KY
Other
Enumeration date
12/29/2022
Last updated
12/19/2025
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