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NPI Code Detail

MEDICARE: KATHERINE RAHENKAMP APRN

MEDICARE: KATHERINE RAHENKAMP APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4008837KY

General Provider Information

NPI Number : 1366212748
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE RAHENKAMP APRN
Provider Business Mailing Address
First Line : 1431 OPUS PL STE 110
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1164
Country : US
Telephone Number : 888-279-0002
Fax Number :
Provider Business Practice Location Address
First Line : 303 S 4TH ST
Second Line :
City : DANVILLE
State : KY
Zip : 40422-2091
Country : US
Telephone Number : 859-236-1080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2024
Last Update Date : 12/10/2025

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