Individual
MICHELLE YVONNE RORIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 461-1579
(270) 461-4021
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-1579
(270) 461-4021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000036695
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4063023
—
TN
Enumeration date
07/27/2006
Last updated
04/24/2025
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