Healthcare Provider Details
I. General information
NPI: 1417275132
Provider Name (Legal Business Name): RACHEL DOWLEN RODRIGUEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/05/2010
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
740 S LIMESTONE STE L119
LEXINGTON KY
40536-0001
US
IV. Provider business mailing address
619 S 19TH ST
BIRMINGHAM AL
35249-0001
US
V. Phone/Fax
- Phone: 859-257-3253
- Fax: 859-323-1203
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0102X |
| Taxonomy | Surgical Critical Care Physician |
| License Number | TP421 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0127X |
| Taxonomy | Trauma Surgery Physician |
| License Number | 34095 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: