| Richard S Miles Psc | |
|
124 Dowell Rd Russell Spgs KY 42642 | |
| (270) 866-2440 | |
| (270) 866-2442 |
| Full Name | Richard S Miles Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 124 Dowell Rd, Russell Spgs, Kentucky |
| Authorized Official Name and Position | Richard S Miles (PRESIDENT OWNER MD) |
| Authorized Official Contact | 2708662440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Miles Psc 124 Dowell Rd Russell Spgs KY 42642 Ph: (270) 866-2440 | Richard S Miles Psc 124 Dowell Rd Russell Spgs KY 42642 Ph: (270) 866-2440 |
| NPI Number | 1619152337 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619152337 | NPI | - | NPPES |
| 000000047852 | Other | ANTHEM BCBS | |
| 64197007 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19700 (Kentucky) | Primary |