Individual provider · NPI-1

Dr. Rick Angel, M.D.

Family Medicine · Richmond, KY

NPI number1235121641
StatusActive
Last updated in NPPESDec 9, 2020

Details

NPI
1235121641
Entity type
Individual (NPI-1)
Name
Dr. Rick Angel
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 22, 2005
Certification date
Dec 9, 2020
Last updated
Dec 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine26660KYYes

Practice location

646 University Shopping Ctr
Richmond, KY 40475-2614

Phone 859-623-0535 · Fax 859-624-0003

Mailing address

Po Box 950248
Louisville, KY 40295-0248

Phone 502-489-5730 · Fax 502-489-5733

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