Healthcare Provider Details

I. General information

NPI: 1265490114
Provider Name (Legal Business Name): GERALD R RIGHTMYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 03/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 8TH ST SUITE 1
HENDERSON KY
42420-2963
US

IV. Provider business mailing address

PO BOX 1079
HENDERSON KY
42419-1079
US

V. Phone/Fax

Practice location:
  • Phone: 270-827-5657
  • Fax: 270-827-8833
Mailing address:
  • Phone: 270-827-0353
  • Fax: 270-827-4966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26503
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: