Individual
RICHARD S HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
989 MEDICAL PARK DR, MAYSVILLE, KY 41056-8750
(606) 759-3130
(502) 227-5081
Mailing address
3448 US ROUTE 60, HUNTINGTON, WV 25705-2906
(304) 552-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28095
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000058821
ANTHEM BC PIN
KY
05
—
1922008283
—
WV
05
—
2105948
—
OH
05
—
64280951
—
KY
01
—
8759011
UNITED HEALTHCARE PIN
KY
01
—
G24321
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
07/28/2005
Last updated
05/16/2024
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