Individual
RICHARD ALAN PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST # HX307, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-4457
Mailing address
800 ROSE ST # HX307, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-4457
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
000035462
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
40306
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6412558600
—
KY
01
—
66713
BLUE CROSS BLUE SHIELD
NC
05
—
8966713
—
NC
Enumeration date
08/24/2005
Last updated
09/12/2013
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