Organization
RAPHA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY CRISCILLIS NP (OWNER)
(859) 421-7847
Entity
Organization
Contact information
Practice address
115 SHETLAND LN, VERSAILLES, KY 40383-1701
(859) 421-7847
Mailing address
115 SHETLAND LN, VERSAILLES, KY 40383-1701
(859) 421-7847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
03/04/2025
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