Provider Demographics
NPI:1154313518
Name:HULLER, RALPH FRANCIS JR (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:FRANCIS
Last Name:HULLER
Suffix:JR
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:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-301-9140
Mailing Address - Fax:859-301-9141
Practice Address - Street 1:651 CENTRE VIEW BLVD
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5423
Practice Address - Country:US
Practice Address - Phone:859-301-9140
Practice Address - Fax:859-301-9141
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY19371207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1098080OtherPASSPORT
0420745OtherUNITED HEALTHCARE
310674100OtherUS DEPT OF LABOR
OH2466451Medicaid
KYP00922861OtherMEDICARE RAILROAD
000000044589OtherANTHEM
021036000OtherFEDERAL BLACK LUNG
IN200920810Medicaid
637111OtherAETNA
KY64193717Medicaid
310674100OtherUS DEPT OF LABOR
KY110139841Medicare PIN
KY110127716Medicare PIN
KYP00922861OtherMEDICARE RAILROAD
IN200920810Medicaid
637111OtherAETNA
1098080OtherPASSPORT
KY64193717Medicaid