Provider Demographics
NPI:1770149510
Name:NOLAN, RACHEL HANEY (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:HANEY
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-442-6600
Mailing Address - Fax:859-442-6601
Practice Address - Street 1:2200 CONNER RD
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-8169
Practice Address - Country:US
Practice Address - Phone:859-442-6200
Practice Address - Fax:859-442-6601
Is Sole Proprietor?:No
Enumeration Date:2019-05-17
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KY58728207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program