Individual
MARY RACHEL MCGUFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 N EAGLE CREEK DR, SUITE 250, LEXINGTON, KY 40509-1827
(859) 258-5141
(859) 258-5168
Mailing address
120 N EAGLE CREEK DR, SUITE 250, LEXINGTON, KY 40509-1827
(859) 258-5141
(859) 258-5168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36721
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64034846
—
KY
01
—
CB5773
RR MEDICARE GROUP
—
Enumeration date
07/17/2006
Last updated
11/02/2007
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