Individual
DR. JOSHUA AARON RODOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2400 GREATSTONE POINT, LEXINGTON, KY 40536-8339
(859) 323-5962
Mailing address
400 CUNNINGHAM WAY, DANVILLE, KY 40422-8339
(859) 936-3511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N/A
KY
2084P0800X
Psychiatry Physician
N/A
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
03455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100249930
—
KY
Enumeration date
03/06/2009
Last updated
09/11/2018
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