Individual
DR. SUSAN RHOADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9480 HIGHWAY 805, JENKINS, KY 41537-8182
(606) 832-2171
(606) 832-2943
Mailing address
PO BOX 472, JENKINS, KY 41537-0472
(606) 832-2171
(606) 832-2943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39904
KY
207Q00000X
Family Medicine Physician
TP381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000715932
ANTHEM - NICC
KY
05
—
65904294
—
KY
Enumeration date
05/04/2006
Last updated
07/21/2011
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