Provider Demographics
NPI:1538107826
Name:COMPTON, RALPH E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:E
Last Name:COMPTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:305 ESTILL ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BEREA
Mailing Address - State:KY
Mailing Address - Zip Code:40403-1742
Mailing Address - Country:US
Mailing Address - Phone:859-986-2343
Mailing Address - Fax:859-986-2344
Practice Address - Street 1:305 ESTILL ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-1742
Practice Address - Country:US
Practice Address - Phone:859-986-2343
Practice Address - Fax:859-986-2344
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2013-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY22654207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64226541Medicaid
KYC67622Medicare UPIN
KY64226541Medicaid