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Contact Information

RICHARD BLAIR, DO
210 E GRAY ST STE 700
LOUISVILLE, KY40202
 Phone: 502-629-5400
 Fax: 502-629-5492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICHARD BLAIR · (Male)

NPI Number 1407895972
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/06/2006
Last updated 04/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 03784
  • MS License # 15435
  • AL Medicaid 009989045
  • KY Medicaid 7100378800
  • AL Other 51527542 BLUE CROSS
  • KY Other K188051 MEDICARE
Hospital affiliation(s)
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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