Organization
RISE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D CHISHOLM DNP CNM (OWNER)
(502) 317-6211
Entity
Organization
Contact information
Practice address
161 ALPINE DR, SHELBYVILLE, KY 40065-8878
(502) 317-6211
Mailing address
524 1ST ST, SHELBYVILLE, KY 40065-1051
(541) 602-7935
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457581837
—
OR
Enumeration date
05/19/2025
Last updated
05/19/2025
Update your record
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