Provider Demographics
NPI:1780616961
Name:WORKMAN, RICHARD HUNTER JR (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:HUNTER
Last Name:WORKMAN
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 1:2400 RUSSELLVILLE RD
Mailing Address - Street 2:P.O. BOX 2200
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42241-2200
Mailing Address - Country:US
Mailing Address - Phone:270-889-6025
Mailing Address - Fax:
Practice Address - Street 1:2400 RUSSELLVILLE RD
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42241-2200
Practice Address - Country:US
Practice Address - Phone:270-889-6025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY436812084P0800X
NC305272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5900898Medicaid