Individual
MRS. KATELYN A RINELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-7200
Mailing address
2005 ROBIN RD, OWENSBORO, KY 42301-4618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1802
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000819336
ANTHEM BC/BS
KY
05
—
7100274030
—
KY
01
—
950064
WELLCARE OF KY
KY
Enumeration date
01/16/2013
Last updated
03/17/2018
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