Individual provider · Type 1 NPI

Kelty Richardson

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1114215167 Active

Practice location

600 S Preston St
Louisville, KY 40202-1716

Call (502) 589-8600 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114215167

Kelty Richardson's National Provider Identifier is 1114215167, issued on Jul 12, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Jul 12, 2011.