Individual
NIBIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1098 S MAYO TRL, STE 302, PIKEVILLE, KY 41501-1546
(606) 218-4712
Mailing address
P.O. BOX 2917, PIKEVILLE, KY 41502
(606) 218-3925
(606) 218-4560
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
39448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64113582
—
KY
Enumeration date
06/07/2006
Last updated
07/08/2007
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