Individual
RHONDA R PFAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 212-0003
(859) 344-5553
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-4468
(859) 212-4357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
32130
KY
207Q00000X
Family Medicine Physician
32130
KY
208M00000X
Hospitalist Physician
Primary
32130
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549371
—
OH
05
—
64040041
—
KY
Enumeration date
10/21/2005
Last updated
09/05/2018
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