Marlene K. Richardson, D.m.d, Psc | |
1485 Old Lebanon Rd Campbellsville KY 42718-3356 | |
(270) 789-2155 | |
(270) 789-0693 |
Full Name | Marlene K. Richardson, D.m.d, Psc |
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Speciality | Dentist - General Practice |
Location | 1485 Old Lebanon Rd, Campbellsville, Kentucky |
Authorized Official Name and Position | Marlene K. Richardson (PRESIDENT) |
Authorized Official Contact | 2707892155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marlene K. Richardson, D.m.d, Psc 1485 Old Lebanon Rd Campbellsville KY 42718-3356 Ph: (270) 789-2155 | Marlene K. Richardson, D.m.d, Psc 1485 Old Lebanon Rd Campbellsville KY 42718-3356 Ph: (270) 789-2155 |
NPI Number | 1922131135 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 02/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922131135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5914 (Kentucky) | Primary |
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