MEDICARE: DR. DAVID FREDERICK REDINGER 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	2084P0800X	Psychiatry Physician	46887	KY

General Provider Information

NPI Number	:	1922326107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID FREDERICK REDINGER M.D.

Provider Business Mailing Address
First Line	:	2530 SIR BARTON WAY STE 125
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2746
Country	:	US
Telephone Number	:	859-639-0050
Fax Number	:	859-639-0051

Provider Business Practice Location Address
First Line	:	2530 SIR BARTON WAY STE 125
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2746
Country	:	US
Telephone Number	:	859-639-0050
Fax Number	:	859-639-0051

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

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	02/07/2025

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