Provider Demographics
NPI:1083710206
Name:CASH, RALPH L JR (MD)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:L
Last Name:CASH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:302 MICBETH DRIVE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-1661
Mailing Address - Country:US
Mailing Address - Phone:270-365-1225
Mailing Address - Fax:270-365-1252
Practice Address - Street 1:302 MICBETH DRIVE
Practice Address - Street 2:302 MICBETH DRIVE
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-2173
Practice Address - Country:US
Practice Address - Phone:270-365-1225
Practice Address - Fax:270-365-1252
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18583207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY18583OtherLICENSE
000000066258OtherBCBS PROVIDER NUMBER
KY64185838Medicaid
C70723Medicare UPIN
0374516Medicare PIN
KYC70723Medicare UPIN
KY64185838Medicaid
KY080094564Medicare PIN
000000066258OtherBCBS PROVIDER NUMBER