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Individual

ADA M RHODES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A - C

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
363A00000X
Physician Assistant
Primary
PA253
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100100730
KY
Enumeration date
03/01/2006
Last updated
02/19/2016
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