Healthcare Provider Details

I. General information

NPI: 1508203282
Provider Name (Legal Business Name): RICK ALAN POUNDS MS, RCEP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RICKY POUNDS MS, RCEP

II. Dates (important events)

Enumeration Date: 06/04/2013
Last Update Date: 06/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 RUCCIO WAY SUITE #190
LEXINGTON KY
40503-3662
US

IV. Provider business mailing address

261 RUCCIO WAY SUITE #190
LEXINGTON KY
40503-3662
US

V. Phone/Fax

Practice location:
  • Phone: 859-266-0404
  • Fax: 859-266-0621
Mailing address:
  • Phone: 859-266-0404
  • Fax: 859-266-0621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: