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Individual

MR. DOUGLAS H RANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 W PIKE ST, COVINGTON, KY 41011
(859) 426-5951
(859) 426-1320
Mailing address
12 W PIKE ST, COVINGTON, KY 41011
(859) 426-5951
(859) 426-1320

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27590
KY
2084P0800X
Psychiatry Physician
Primary
27590
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679695910
NPI
KY
01
2084P0800X
TAXONOMY
KY
05
64275902
KY
Enumeration date
04/06/2007
Last updated
01/06/2009
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