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Individual

RACHEL SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
153 W TOM T HALL BLVD, OLIVE HILL, KY 41164-5801
(606) 898-3982
Mailing address
275 RACHEL ST, OLIVE HILL, KY 41164-8463
(859) 494-0542

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38956
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64086374
KY
01
P00196323
RAILROAD MEDICARE
KY
Enumeration date
11/08/2005
Last updated
10/09/2025
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