Individual
RICHARD BANKHARDT RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS PSC, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23354
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033274
ANTHEM BLUE SHIELD
—
05
—
0675658
—
OH
01
—
10814619
CAQH
—
05
—
200001890
—
IN
05
—
64233547
—
KY
Enumeration date
11/18/2005
Last updated
03/22/2012
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