Richmond, Kenneth Herbert

Richmond, Kenneth Herbert is an individual health care provider with primary practice located at 3515 Poplar Level Rd , Louisville KY 40213-1009. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Richmond, Kenneth Herbert can be contacted via phone (502) 459-3760.

Contact Information

Primary practice address
3515 Poplar Level Rd Louisville KY 40213-1009
Phone: (502) 459-3760
Fax: (502) 459-3717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 24518 Kentucky

Profile Details

NPI number 1346246873
LBN Legal business name Richmond, Kenneth Herbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jun 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346246873 NPPES
Kentucky MEDICAID 64245186
Kentucky Other 000000045107

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