Individual
AUDRY G RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S., FAAFP
Contact information
Practice address
2211 MAYFAIR DR, SUITE 101, OWENSBORO, KY 42301-4568
(270) 688-1352
(270) 683-4313
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01058040A
IN
207Q00000X
Family Medicine Physician
26465
KY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
26465
KY
2083X0100X
Occupational Medicine Physician
Primary
26465
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000566966
CHS ANTHEM PIN
KY
05
—
200466230
—
IN
05
—
7100042640
—
KY
Enumeration date
10/24/2005
Last updated
05/14/2019
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