Individual
DR. RICHARD FELLOWS
Active
Individual
DR. RICHARD FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
18377
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000544367
ANTHEM - KCR
KY
01
—
0000230291
HUMANA KCR
KY
01
—
00533031
MEDICARE - KCR
KY
05
—
100357970
—
IN
01
—
3505502
PASSPORT ADVTG - KCR
KY
01
—
50018757
PASSPORT - KCR
KY
05
—
64183775
—
KY
01
—
92158
SIHO - KCR
KY
Enumeration date
10/25/2006
Last updated
01/05/2009
Update your record
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