Dr. Kevin Richerson, D.C.,PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4920 Issued in KY

Legal business name

DR. KEVIN RICHERSON, D.C.,PSC

Practice address

1997 Old Lebanon Rd
Campbellsville, KY 42718-9665

Phone

(270) 469-9308

Fax

(270) 469-9308

NPI assigned

May 26, 2007

Last updated

Oct 31, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Kevin Richerson, D.C.NPI 1811977739

Title

President

Phone

(270) 469-9308

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Kevin Richerson, D.C.

  • Chiropractor
  • Campbellsville, KY
  • NPI 1811977739
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1861603037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NANCY COX DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188842",
            "telephone_number": "270-469-9308",
            "fax_number": "270-469-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189665",
            "telephone_number": "270-469-9308",
            "fax_number": "270-469-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEVIN RICHERSON, D.C.,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "RICHERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-469-9308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Donnelly
• Andrew Dornbrook, PT, DPT
• Holly Dornbrook, DPT
• Ullanda Dawn Douglas, LPCC
• Dr James R. Rinne M.D., PSC
• Dr. William D. Feltner PSC
• Jill Dudgeon, LCSW
• Dorothy Marie Dudley, APRN
• Sherman G Dudley
• Ashleigh Durham, MS, CCC/SLP

• Chiropractor in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.