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Individual

DR. VIVIAN S RODES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3080 HARRODSBURG RD, SUITE 225, LEXINGTON, KY 40503-2774
(859) 296-4272
(859) 296-9645
Mailing address
3080 HARRODSBURG RD, SUITE 225, LEXINGTON, KY 40503-2774
(859) 296-4272
(859) 296-9645

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00228
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000067586
ANTHEM BCBS
KY
01
1525858
UMWA
01
2700062
UHC
01
2731875003
CIGNA
01
433808
TRIGON BCBS
01
480031508
MEDICARE RAIL ROAD
KY
01
5223493
AETNA
KY
05
80002280
KY
Enumeration date
08/04/2006
Last updated
08/30/2013
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