Search › Kentucky › 152W00000X
Richard Mangan, O.D
NPI 1700863214 · on the registry since 2005
Practice
- Address
- 1935 Bluegrass Ave
Suite 200
Louisville, KY 40215 - Phone
- (502) 364-0033
- Fax
- (502) 361-4488
- Organisation at this address
- Eye Centers Of Louisville,Psc
University Kidney Center Bluegrass LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky