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Individual

RACHEL ANN CORDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2245 WINCHESTER AVE, ASHLAND, KY 41101-7848
(606) 408-2600
(606) 408-2605
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
12886-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
3006182
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3046331
OH
05
7100113180
KY
01
P00846139
RR MEDICARE
KY
01
P01117862
RR MEDICARE
OH
Enumeration date
09/22/2009
Last updated
05/05/2015
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