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NPI Code Detail

MEDICARE: ROSA KATHLEEN RIGGS PH.D. M.D. PLLC

MEDICARE: ROSA KATHLEEN RIGGS PH.D. M.D. PLLC
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
12084P0800XPsychiatry Physician17888KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000324649OTHERKYANTHEM BCBS

General Provider Information

NPI Number : 1992977201
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSA KATHLEEN RIGGS PH.D. M.D. PLLC
Provider Business Mailing Address
First Line : 1614 VERSAILLES RD
Second Line : SUITE 102
City : LEXINGTON
State : KY
Zip : 40504-2402
Country : US
Telephone Number : 859-255-5520
Fax Number : 859-254-8255
Provider Business Practice Location Address
First Line : 1614 VERSAILLES RD
Second Line : SUITE 102
City : LEXINGTON
State : KY
Zip : 40504-2402
Country : US
Telephone Number : 859-255-5520
Fax Number : 859-254-8255
Authorized Official
Title or Position : OWNER
Name : DR. ROSA KATHLEEN RIGGS
Credential : PH.D. M.D.
Telephone Number : 859-255-5520
Provider Enumeration Date : 03/26/2008
Last Update Date : 04/07/2008

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