NPI 1407895972 · live from the CMS NPI Registry
Richard Blair, DO
Family Medicine, Adult Medicine in Louisville, KY. National Provider Identifier 1407895972, active.
NPI record
| NPI | 1407895972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Adult Medicine 207QA0505X |
| Practice location | 210 E Gray St Ste 700, Louisville, KY 40202 |
| Practice phone | 502-629-5400 |
| Mailing address | Po Box 776351, Chicago, IL 60677 |
| Enumerated | June 6, 2006 |
| Last updated | April 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine primary | 207QA0505X | 03784 (KY) |
| Family Medicine, Adult Medicine | 207QA0505X | 15435 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.