Healthcare Provider Details

I. General information

NPI: 1932804317
Provider Name (Legal Business Name): RACHEL ANN MOBLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 N DIXIE AVE
ELIZABETHTOWN KY
42701-2503
US

IV. Provider business mailing address

P O BOX 910530
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 877-783-6257
  • Fax: 859-514-5521
Mailing address:
  • Phone: 877-783-6257
  • Fax: 859-514-5521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number06397
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: