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NPI Code Detail

MEDICARE: DR. KEVIN RYAN RHODY MD

MEDICARE:  DR. KEVIN RYAN RHODY  MD
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
1207Q00000XFamily Medicine PhysicianMD0000035221TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24015609OTHERTNBCBS OF TN

General Provider Information

NPI Number : 1841282779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN RYAN RHODY MD
Provider Business Mailing Address
First Line : 302 N CONGRESS BLVD
Second Line :
City : SMITHVILLE
State : TN
Zip : 37166-2704
Country : US
Telephone Number : 615-597-4395
Fax Number : 615-597-5075
Provider Business Practice Location Address
First Line : 302 N CONGRESS BLVD
Second Line :
City : SMITHVILLE
State : TN
Zip : 37166-2704
Country : US
Telephone Number : 615-597-4395
Fax Number : 615-597-5075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

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Directions to “ DR. KEVIN RYAN RHODY MD” Practice Location

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