Healthcare Provider Details

I. General information

NPI: 1013931849
Provider Name (Legal Business Name): RICHARD P RIBEYRE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6356 OLD MUNFORDVILLE RD
CAVE CITY KY
42127-9322
US

IV. Provider business mailing address

6356 OLD MUNFORDVILLE RD
CAVE CITY KY
42127-9322
US

V. Phone/Fax

Practice location:
  • Phone: 270-404-4204
  • Fax: 270-773-5899
Mailing address:
  • Phone: 270-404-4204
  • Fax: 270-773-5899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34054
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number34054
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34054
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: