BRIAN RICHARDSON

WILMORE, KY
NPI1235897778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3017052)
Enumeration Date2021-12-01
Last Update Date2021-12-01
Business Address
BRIAN RICHARDSON
2105 MCCAULEY RD
WILMORE, KY 40390-9560
Phone number: 859-749-5370
Mailing Address
BRIAN RICHARDSON
BRIAN RICHARDSON PO BOX 240
WILMORE, KY 40390-0240
Phone number: 859-749-5370