Individual
RACHAEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-2000
Mailing address
3840 STEWARTSVILLE RD, WILLIAMSTOWN, KY 41097
(859) 967-8296
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143162
KY
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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