Provider Demographics
NPI:1669787479
Name:RABE, VIRGINIA LEE
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:LEE
Last Name:RABE
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 1:1850 SPILLMAN RD
Mailing Address - Street 2:
Mailing Address - City:MORNING VIEW
Mailing Address - State:KY
Mailing Address - Zip Code:41063-8773
Mailing Address - Country:US
Mailing Address - Phone:859-356-1652
Mailing Address - Fax:
Practice Address - Street 1:1850 SPILLMAN RD
Practice Address - Street 2:
Practice Address - City:MORNING VIEW
Practice Address - State:KY
Practice Address - Zip Code:41063-8773
Practice Address - Country:US
Practice Address - Phone:859-356-1652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist