Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rudolph F Licandro, MD

Individual provider Cardiovascular Disease Physician · NPI 1497753784

Rudolph F Licandro, MD is a Cardiovascular Disease Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3900 Kresge Way Ste 60
Louisville, KY 40207-4660
Phone: (502) 893-7710
Fax: (502) 893-1884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 23908 (KY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 23908 (KY)

Record details

NPI number1497753784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESMarch 7, 2023
Certification dateDecember 8, 2020

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