Provider Demographics
NPI:1639223621
Name:SLONE, RICHARD KENT (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:KENT
Last Name:SLONE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MORTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9473
Mailing Address - Country:US
Mailing Address - Phone:606-436-2891
Mailing Address - Fax:606-436-0521
Practice Address - Street 1:500 MORTON BLVD
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9473
Practice Address - Country:US
Practice Address - Phone:606-436-2891
Practice Address - Fax:606-436-0521
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist