| R Ritchie Van Bussum Md Psc | |
|
1760 Nicholasville Rd Ste 603 Lexington KY 40503-1474 | |
| (859) 277-2211 | |
| (859) 277-7575 |
| Full Name | R Ritchie Van Bussum Md Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 1760 Nicholasville Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Robert Ritchie Van Bussum (OWNER PRESIDENT) |
| Authorized Official Contact | 8592773636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Ritchie Van Bussum Md Psc 1760 Nicholasville Rd Ste 603 Lexington KY 40503-1474 Ph: (859) 277-2211 | R Ritchie Van Bussum Md Psc 1760 Nicholasville Rd Ste 603 Lexington KY 40503-1474 Ph: (859) 277-2211 |
| NPI Number | 1205946951 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205946951 | NPI | - | NPPES |
| 1437203395 | Other | KY | NPI |
| 6593431700 | Medicaid | KY | |
| 1346390820 | Other | KY | NPI |
| 6422065000 | Medicaid | KY | |
| 7890195600 | Medicaid | KY | |
| 1144222399 | Other | KY | NPI |
| 1134123466 | Other | KY | NPI |
| 95001822 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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