Provider Demographics
NPI:1023040821
Name:BLUM, RICHARD A (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:BLUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:793 EASTERN BYP
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2422
Mailing Address - Country:US
Mailing Address - Phone:859-624-2020
Mailing Address - Fax:859-623-7362
Practice Address - Street 1:793 EASTERN BYP
Practice Address - Street 2:SUITE 110
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2422
Practice Address - Country:US
Practice Address - Phone:888-732-4293
Practice Address - Fax:859-623-7362
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-12-17
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Provider Licenses
StateLicense IDTaxonomies
KY20625208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics