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RUDOLPH F LICANDRO M.D.
NPI 1497753784
Internal Medicine - Interventional Cardiology in Louisville, KY

Active since July 11, 2005
3900 KRESGE WAY, STE 60, LOUISVILLE, KY 40207(502) 893-7710(502) 893-1884 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Dec 8, 2020 (2 updates tracked since 2020).

About Rudolph F Licandro M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUDOLPH F LICANDRO M.D. (NPI 1497753784) is an individual interventional cardiology provider in Louisville, Kentucky, licensed in Kentucky (23908) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1497753784
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRUDOLPH F LICANDROCredential: M.D.
Location Address3900 KRESGE WAY, STE 60Louisville, KY 40207-4660
Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 489-5730 · Fax (502) 489-5753
Phone(502) 893-7710
Fax(502) 893-1884
Sole ProprietorNo
Enumeration DateJuly 11, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1497753784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in KY · 23908
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 23908 (KY)
3900 KRESGE WAY, Louisville, KY 40207
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Other Identifiers 1

Medicaid64239080KY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN SIMEL LEWIS
Obstetrics & Gynecology
3900 KRESGE WAY, SUITE 30
LOUISVILLE, KY 40207
Jefferson County (502) 891-8700
UNIVERSITY OF LOUISVILLE REHABILITATION FACULTY GROUP, PLLC
Physical Medicine & Rehabilitation
3900 KRESGE WAY, STE #41
LOUISVILLE, KY 40207
Jefferson County (502) 899-3623
MRS. KRISTEN RAE HORD P.A.-C
Physician Assistant (Medical)
3900 KRESGE WAY, STE 30
LOUISVILLE, KY 40207
Jefferson County (502) 891-8700
CHELSEA FOWLER APRN
Nurse Practitioner (Family)
3900 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 259-4470
DR. GREGORY L PITTMAN MD
Psychiatry & Neurology (Neurology)
3900 KRESGE WAY, SUITE 56
LOUISVILLE, KY 40207
Jefferson County (502) 895-7265
WILLIAM C DILLON MD
Internal Medicine (Interventional Cardiology)
3900 KRESGE WAY, SUITE 60
LOUISVILLE, KY 40207
Jefferson County (502) 893-7710
FELIX ALBERT OLASH JR. M.D.
Internal Medicine
3900 KRESGE WAY, STE. 50
LOUISVILLE, KY 40207
Jefferson County (502) 897-1776
TARA S KAUFFMAN ARNP
Nurse Practitioner
3900 KRESGE WAY, SUITE 60
LOUISVILLE, KY 40207
Jefferson County (502) 893-7710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudolph Licandro's NPI number?

The NPI number for Rudolph Licandro is 1497753784. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Rudolph Licandro located?

Rudolph Licandro practices at 3900 Kresge Way Ste 60, Louisville, KY 40207. The listed phone number is (502) 893-7710.

What is Rudolph Licandro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Rudolph Licandro was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.