Individual
DR. ERIC T. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 572-3617
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28930
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000618978J
—
GA
05
—
200916620
—
IN
05
—
2793320
—
OH
05
—
7100032130
—
KY
Enumeration date
10/12/2005
Last updated
07/15/2015
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