Individual
ANGELA Y RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35.090802
OH
2084N0600X
Clinical Neurophysiology Physician
Primary
35-090802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2800508
—
OH
05
—
7100179190
—
KY
01
—
P00981133
RAILROAD MEDICARE
KY
Enumeration date
05/29/2007
Last updated
06/27/2025
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