Healthcare Provider Details

I. General information

NPI: 1821934126
Provider Name (Legal Business Name): JULIANA RIZZO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 S LOOP RD
EDGEWOOD KY
41017-5446
US

IV. Provider business mailing address

413 S LOOP RD
EDGEWOOD KY
41017-5446
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-3800
  • Fax: 859-301-3987
Mailing address:
  • Phone: 859-301-3800
  • Fax: 859-301-3987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: