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NPI Code Detail

MEDICARE: RACHEL L. HOLTON

MEDICARE:   RACHEL L. HOLTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3012076KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235646878
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL L. HOLTON
Provider Business Mailing Address
First Line : PO BOX 1080
Second Line :
City : BURKESVILLE
State : KY
Zip : 42717-1080
Country : US
Telephone Number : 270-858-6655
Fax Number : 270-858-4607
Provider Business Practice Location Address
First Line : 6350 OLD SCOTTSVILLE RD
Second Line :
City : ALVATON
State : KY
Zip : 42122-9767
Country : US
Telephone Number : 844-435-0900
Fax Number : 270-858-4029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2018
Last Update Date : 12/15/2022

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