Individual
TY E RICHARDSON
Active
Individual
TY E RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31339
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179986
ANTHEM INS
—
05
—
64015753
—
KY
01
—
7807142
AETNA INS
—
01
—
9481389002
CIGNA INS
—
Enumeration date
11/02/2005
Last updated
04/16/2015
Update your record
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