Healthcare Provider Details

I. General information

NPI: 1881991933
Provider Name (Legal Business Name): RICHMOND WOMEN'S HEALTH CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 EASTERN BYP SUITE 5
RICHMOND KY
40475-2406
US

IV. Provider business mailing address

795 EASTERN BYP SUITE 5
RICHMOND KY
40475-2406
US

V. Phone/Fax

Practice location:
  • Phone: 859-624-2229
  • Fax: 859-625-9458
Mailing address:
  • Phone: 859-624-2229
  • Fax: 859-625-9458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number3002084
License Number StateKY

VIII. Authorized Official

Name: MRS. TAMMY SIMPSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 859-624-2229