Provider Demographics
NPI:1497312714
Name:COMBS, RACHEL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:COMBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3087 FENDER RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:KY
Mailing Address - Zip Code:41059-9447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3087 FENDER RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:KY
Practice Address - Zip Code:41059-9447
Practice Address - Country:US
Practice Address - Phone:859-512-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program