Ms. Leesa Richardson
General Practice Physician
3215 Westport Green Pl
Louisville
, Kentucky 40241-3135
Ms. Leesa Richardson
General Practice Physician
3215 Westport Green Pl
Louisville
, Kentucky 40241-3135
(502) 253-1037
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Ms. Leesa Richardson
- Po Box 950166
- Louisville, KY
- Zip : 40295-0166
- Fax : (502) 253-1037
- Phone : (502) 253-1035
Second Address
- Ms. Leesa Richardson
- 3215 Westport Green Pl
- Louisville, KY
- Zip : 40241-3135
- Fax : (502) 357-0606
- Phone : (502) 412-1112
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 22847 | KY |
National Provider Identifier
| NPI | 1023032950 |
|---|---|
| Provider Name | Ms. Leesa Richardson |
| First Address | Louisville, KY 40295-0166 |
| Second Address | Louisville, KY 40241-3135 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 25/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000189835 | BCBS (01) | KY |
| 64224876 | (05) | KY |
| C72135 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.