Provider Demographics
NPI:1902823669
Name:RASH, VALERIE JEAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:JEAN
Last Name:RASH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 GATECREEK RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40272-2687
Mailing Address - Country:US
Mailing Address - Phone:502-381-7563
Mailing Address - Fax:513-858-7827
Practice Address - Street 1:3403 GATECREEK RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40272-2687
Practice Address - Country:US
Practice Address - Phone:502-381-7563
Practice Address - Fax:513-858-7827
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00387213E00000X, 213E00000X
SD185213E00000X
NE298213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100214310Medicaid
IN201067570Medicaid
KYP01232299Medicare PIN
IN201067570Medicaid
IA15765Medicare PIN
KYP01232299Medicare PIN
NE279707Medicare PIN
IA475129Medicaid
KYK043411Medicare PIN
SDS100853Medicare PIN