Provider Demographics
NPI:1932129343
Name:SKRIP, RICHARD E JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:E
Last Name:SKRIP
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-2050
Mailing Address - Country:US
Mailing Address - Phone:606-878-5474
Mailing Address - Fax:606-877-2439
Practice Address - Street 1:1675 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-2050
Practice Address - Country:US
Practice Address - Phone:606-878-5474
Practice Address - Fax:606-877-2439
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY217213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000041654OtherANTHEM BCBS
KY2014201OtherMEDICARE PTAN
KY3024611OtherANTHEM BCBS OF TN
KY80021702Medicaid
KY9019063800OtherMEDICAID DME
KYU34935Medicare UPIN