Healthcare Provider Details

I. General information

NPI: 1992388730
Provider Name (Legal Business Name): ADAM RHEIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 WOODLAND DR
ELIZABETHTOWN KY
42701-2749
US

IV. Provider business mailing address

53447 GARLAND DR
SHELBY TWP MI
48316-2728
US

V. Phone/Fax

Practice location:
  • Phone: 270-769-5963
  • Fax: 270-769-9051
Mailing address:
  • Phone: 270-769-5963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number06006
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: