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General NPI Number Information
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NPI Number | 1366929952
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Entity Type | Organization
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Legal Business Name | RICHMOND FAMILY MEDICINE ASSOCIATES
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 312 JASON DR STE 9
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City | RICHMOND
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State | KY
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Zip | 40475-2785
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Country | US
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Telephone | 859-224-8835
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Fax |
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Provider Business Mailing Address
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Address Line | 312 JASON DR STE 9
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City | RICHMOND
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State | KY
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Zip | 40475-2785
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSCIAN
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Name | DR. KASEY MICHELLE EIDSON
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Credential | MD
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Telephone | 859-575-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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