Organization
EMANUEL H. RADER, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMANUEL H. RADER M.D. (OWNER)
(606) 337-3570
Entity
Organization
Contact information
Practice address
121 W VIRGINIA AVE, SUITE C-100, PINEVILLE, KY 40977-1600
(606) 337-3559
(606) 337-8252
Mailing address
121 W VIRGINIA AVE, SUITE C-100, PINEVILLE, KY 40977-1600
(606) 337-3559
(606) 337-8252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64148273
—
KY
Enumeration date
01/31/2007
Last updated
11/26/2007
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