Individual
RACHEL VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-AGACNP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-8072
Mailing address
823 SPYGLASS LN, LEXINGTON, KY 40509-2104
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3009881
KY
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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