Healthcare Provider Details

I. General information

NPI: 1376171124
Provider Name (Legal Business Name): RITESH KUMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST STE C114D
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

800 ROSE ST # C-246
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-7618
  • Fax: 859-257-4060
Mailing address:
  • Phone: 859-323-6162
  • Fax: 859-257-8934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number60664
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: