Individual
SELENA G. RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1795 ALYSHEBA WAY STE 2101, LEXINGTON, KY 40509-2286
(859) 287-2827
(859) 203-8684
Mailing address
1795 ALYSHEBA WAY STE 2101, LEXINGTON, KY 40509-2286
(859) 287-2827
(859) 203-8684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100497270
—
KY
Enumeration date
05/06/2015
Last updated
01/24/2025
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