Provider Demographics
NPI:1821375353
Name:ROLF, CRISTIN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTIN
Middle Name:MARIE
Last Name:ROLF
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 1:100 SOWER BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-8272
Mailing Address - Country:US
Mailing Address - Phone:502-564-4545
Mailing Address - Fax:502-564-1699
Practice Address - Street 1:100 SOWER BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8272
Practice Address - Country:US
Practice Address - Phone:502-564-4545
Practice Address - Fax:502-564-1699
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65772207ZF0201X
KY33422207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology