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NPI Code Detail

MEDICARE: RICHARD H CALES M.D.

MEDICARE: RICHARD H CALES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0401XAddiction Medicine (Family Medicine) Physician36961KY
2207QA0401XAddiction Medicine (Family Medicine) Physician01061356AIN
3207R00000XInternal Medicine Physician36961KY
4207RA0401XAddiction Medicine (Internal Medicine) Physician36961KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000001064309OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619932084
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD H CALES M.D.
Provider Business Mailing Address
First Line : P O BOX 940245
Second Line :
City : LOUISVILLE
State : KY
Zip : 40295-0001
Country : US
Telephone Number : 502-969-6552
Fax Number : 502-969-3799
Provider Business Practice Location Address
First Line : 5722 OUTER LOOP
Second Line :
City : LOUISVILLE
State : KY
Zip : 40219-4156
Country : US
Telephone Number : 502-492-7455
Fax Number : 502-921-0222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/26/2026

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