MEDICARE: RINALDINI MEDICAL PRACTICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	32773	KY
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487746186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RINALDINI MEDICAL PRACTICE

Provider Business Mailing Address
First Line	:	2300 CONCRETE RD
Second Line	:	SUITE B
City	:	CARLISLE
State	:	KY
Zip	:	40311-9721
Country	:	US
Telephone Number	:	859-289-2212
Fax Number	:	859-289-4744

Provider Business Practice Location Address
First Line	:	300 CONCRETE RD
Second Line	:	SUITE B
City	:	CARLISLE
State	:	KY
Zip	:	40311-9721
Country	:	US
Telephone Number	:	859-289-2212
Fax Number	:	859-289-4744

Authorized Official
Title or Position	:	MD
Name	:	MISS ANA MARIA RINALDINI
Credential	:	MD
Telephone Number	:	859-289-2212

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/12/2010

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