Provider Demographics
NPI:1629077409
Name:RINNE, JAMES R (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:RINNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:119 WELL PARK LANE STE 2
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-4997
Mailing Address - Country:US
Mailing Address - Phone:270-465-9237
Mailing Address - Fax:270-465-9418
Practice Address - Street 1:119 WELL PARK LANE STE 2
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-4997
Practice Address - Country:US
Practice Address - Phone:270-465-9237
Practice Address - Fax:270-465-9418
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2022-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY28400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64284003Medicaid
KY684204003Medicaid
KY64284003Medicaid
KYK156830Medicare PIN