Basic Information
Provider Information
NPI: 1710360425
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REDMOND
FirstName: CHRISTOPHER
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNIVERSITY OF KENTUCKY
Address2: 900 S. LIMESTONE, CTW 304
City: LEXINGTON
State: KY
PostalCode: 405360293
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: UNIVERSITY OF KENTUCKY
Address2: 800 ROSE STREET
City: LEXINGTON
State: KY
PostalCode: 405360293
CountryCode: US
TelephoneNumber: 8593236561
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/30/2015
LastUpdateDate: 06/27/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XR3863KYY Allopathic & Osteopathic PhysiciansInternal Medicine 
208000000XR3863KYN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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