Individual
DR. JEFFREY L RINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 MEDICAL CENTER DRIVE, SUITE 209B, PADUCAH, KY 42003-7935
(270) 441-4610
(270) 441-4608
Mailing address
225 MEDICAL CENTER DRIVE, SUITE 209B, PADUCAH, KY 42003-7935
(270) 441-4610
(270) 441-4608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30441
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111458
BLUE SHIELD
KY
01
—
080158338
RR MEDICARE
KY
05
—
64304413
—
KY
Enumeration date
07/25/2006
Last updated
05/11/2010
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