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Individual

RICHARD FLESCH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MS,AUTONMOUS FUNCTIO

Contact information

Practice address
520 VIOLET RD, CRITTENDEN, KY 41030-7480
(859) 428-4100
(859) 428-2134
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(859) 578-2864

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
AUTKY-52
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
05/15/2006
Last updated
07/08/2007
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