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1114215167
KELTY RICHARDSON
LOUISVILLE, KY
NPI
1114215167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-07-12
Last Update Date
2011-07-12
Business Address
-- KELTY RICHARDSON
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-589-8600
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Mailing Address
-- KELTY RICHARDSON
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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