Provider Demographics
NPI:1346205283
Name:RAWLINGS, CHRISTOPHER CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CHARLES
Last Name:RAWLINGS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2300 CHAMBER CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAKESIDE PARK
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1673
Mailing Address - Country:US
Mailing Address - Phone:859-344-5555
Mailing Address - Fax:859-334-8707
Practice Address - Street 1:1980 LITTON LN
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-8669
Practice Address - Country:US
Practice Address - Phone:859-334-8700
Practice Address - Fax:859-334-8707
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2014-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY38928207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64097132Medicaid
OH2605194Medicaid
KY0364968Medicare PIN
KYP00243235Medicare PIN
KYI28056Medicare UPIN