Individual
DR. JESUS RAPHAEL RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 RIVER DR, PIKEVILLE, KY 41501-1685
(606) 437-5500
(606) 437-0873
Mailing address
197 E CEDAR DR, PIKEVILLE, KY 41501-2019
(606) 437-5500
(606) 437-0873
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32202
KY
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
32202
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190776
ANTHEM BLUE CROSS BLUE
KY
01
—
1165144
CHA HEALTH
KY
05
—
20098018
—
KY
Enumeration date
03/19/2007
Last updated
11/26/2007
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