Provider Demographics
NPI:1083684310
Name:HEMPEL, RICHARD JAMES (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:JAMES
Last Name:HEMPEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 E LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-1719
Mailing Address - Country:US
Mailing Address - Phone:859-236-3957
Mailing Address - Fax:859-236-9776
Practice Address - Street 1:640 E LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-1719
Practice Address - Country:US
Practice Address - Phone:859-236-1250
Practice Address - Fax:859-236-9776
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY27115207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000064714OtherANTHEM BC/BS
KY64271158Medicaid
080152111OtherRAILIROAD MEDICARE
KY000000064714OtherANTHEM BC/BS