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Contact Information

REDD ROAD ENTERPRISES, INC.
9321 KY 80-EAST
RUSSELL SPRINGS, KY42728
 Phone: 270-385-9208
 Fax: 270-385-9209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for REDD ROAD ENTERPRISES INC · (Female)

NPI # 1184657736
Status Active
Credentials
Entity Individual
Enumeration date 07/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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