Individual
DR. BRADLEY T RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2312 KENTUCKY AVENUE, PADUCAH, KY 42003
(270) 442-5151
(855) 656-7325
Mailing address
9800 SHELBYVILLE RD, SUITE #220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25721
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64257215
—
KY
01
—
P00824071
RAILROAD MEDICARE
KY
Enumeration date
06/13/2005
Last updated
03/16/2021
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