Healthcare Provider Details

I. General information

NPI: 1174841357
Provider Name (Legal Business Name): RACHEL LOWDENBACK D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 MEDICAL CENTER DR STE 201A
PADUCAH KY
42003-7907
US

IV. Provider business mailing address

225 MEDICAL CENTER DR STE 201A
PADUCAH KY
42003-7907
US

V. Phone/Fax

Practice location:
  • Phone: 270-442-6161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number03556
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: