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Individual

RAE LYNN COUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P

Contact information

Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 331-6466
(859) 344-7930
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 331-6466
(859) 344-7930

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002292
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3090364
OH
01
500007561
RAILROAD MEDICARE
KY
05
78002656
KY
01
P00883411
RAILROAD MEDICARE
KY
Enumeration date
07/01/2006
Last updated
04/12/2024
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