Healthcare Provider Details

I. General information

NPI: 1033790969
Provider Name (Legal Business Name): MEGAN ELIZABETH RAUCH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 NEW HARTFORD RD
OWENSBORO KY
42303-1320
US

IV. Provider business mailing address

766 ALABASTER CT
OWENSBORO KY
42301
US

V. Phone/Fax

Practice location:
  • Phone: 270-683-3720
  • Fax:
Mailing address:
  • Phone: 859-743-2763
  • Fax:

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: