Individual
MR. RODMAN PRICE BOTKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 681-1360
(502) 562-3676
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 681-1360
(502) 562-3676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008330
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100281230
—
KY
Enumeration date
10/17/2013
Last updated
03/17/2021
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