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NPI Code Detail

MEDICARE: DR. RICHARD C PAPE MD

MEDICARE: DR. RICHARD C PAPE MD
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
1208000000XPediatrics Physician15915KY

Other Identifiers

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

General Provider Information

NPI Number : 1619061835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD C PAPE MD
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6351
Country : US
Telephone Number : 502-272-5063
Fax Number : 502-272-5339
Provider Business Practice Location Address
First Line : 5721 BARDSTOWN ROAD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40291-1913
Country : US
Telephone Number : 502-231-1144
Fax Number : 502-231-1508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 03/21/2019

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