Provider Demographics
NPI:1073503595
Name:RICHARDSON, GAY BEST (MD)
Entity Type:Individual
Prefix:MRS
First Name:GAY
Middle Name:BEST
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:130 THOMPSON POYNTER RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-7280
Mailing Address - Country:US
Mailing Address - Phone:606-260-8345
Mailing Address - Fax:606-260-8352
Practice Address - Street 1:130 THOMPSON POYNTER RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-7280
Practice Address - Country:US
Practice Address - Phone:606-260-8345
Practice Address - Fax:606-260-8352
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2019-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
171100000X
KY34056208100000X, 208VP0014X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No171100000XOther Service ProvidersAcupuncturist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64033665Medicaid
KY64033665Medicaid
KY0316527Medicare PIN