MEDICARE: DR. RICHARD MYRON DARTT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34877	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013969849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MYRON DARTT M.D.

Provider Business Mailing Address
First Line	:	106 COMMERCIAL DR
Second Line	:
City	:	HARRODSBURG
State	:	KY
Zip	:	40330-1084
Country	:	US
Telephone Number	:	859-734-3482
Fax Number	:	859-734-3432

Provider Business Practice Location Address
First Line	:	106 COMMERCIAL DR
Second Line	:
City	:	HARRODSBURG
State	:	KY
Zip	:	40330-1084
Country	:	US
Telephone Number	:	859-734-3482
Fax Number	:	859-734-3432

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	05/01/2012

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