KELTY RICHARDSON

LOUISVILLE, KY
NPI1114215167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-07-12
Last Update Date2011-07-12
Business Address
-- KELTY RICHARDSON
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-589-8600
Mailing Address
-- KELTY RICHARDSON
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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