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Organization

DOUGLAS H RANK MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS H RANK MD (PHYSICIAN/PSYCHIATRIST)
(859) 426-5951
Entity
Organization

Contact information

Practice address
12 WEST PIKE ST, COVINGTON, KY 41011
(859) 426-5951
Mailing address
12 WEST PIKE ST, COVINGTON, KY 41011
(859) 426-5951

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679695910
INDIVIDUAL NPI
KY
01
207R00000X
TAXONOMY (INTERNAL MEDICINE)
KY
01
2084P0800X
TAXONOMY (PSYCHIATRY)
KY
05
64275902
KY
Enumeration date
01/08/2009
Last updated
01/08/2009
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