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Individual

DR. EVAN BRADLEY RHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13151 MAGISTERIAL DR STE 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
Mailing address
13151 MAGISTERIAL DR STE 200, LOUISVILLE, KY 40223-4103
(502) 587-1236

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
55787
KY
207X00000X
Orthopaedic Surgery Physician
TP212
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300054958
IN
05
7100750770
KY
Enumeration date
04/13/2016
Last updated
04/18/2023
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