Healthcare Provider Details

I. General information

NPI: 1568635134
Provider Name (Legal Business Name): RACHEL KORSON M. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2008
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S 8TH ST STE 301E
MURRAY KY
42071-2403
US

IV. Provider business mailing address

300 S 8TH ST SUITE 480 W
MURRAY KY
42071-2400
US

V. Phone/Fax

Practice location:
  • Phone: 270-762-1539
  • Fax: 270-752-2858
Mailing address:
  • Phone: 270-762-1566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number46099
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number46099
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: