Provider Demographics
NPI:1700868882
Name:STEEVES, RICHARD VAUGHN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:VAUGHN
Last Name:STEEVES
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 1:325 W WALNUT ST
Mailing Address - Street 2:STE 600
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-1377
Mailing Address - Country:US
Mailing Address - Phone:270-699-9500
Mailing Address - Fax:
Practice Address - Street 1:325 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1377
Practice Address - Country:US
Practice Address - Phone:270-699-9500
Practice Address - Fax:270-699-9550
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY28533207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64285331Medicaid
KYF44330Medicare UPIN
KY0661606Medicare ID - Type Unspecified