Provider Demographics
NPI:1629501515
Name:BRYANT, RACHEL MARIE RINALDI (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARIE RINALDI
Last Name:BRYANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 ANDREA ST STE 305
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5802
Mailing Address - Country:US
Mailing Address - Phone:270-745-7985
Mailing Address - Fax:
Practice Address - Street 1:1325 ANDREA ST STE 305
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5802
Practice Address - Country:US
Practice Address - Phone:270-745-7985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN65613208600000X
KY59175208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery