| Rejuvenate Rx | |
|
236 E Main St Richmond KY 40475-1628 | |
| (859) 582-1087 | |
| Not Available |
| Full Name | Rejuvenate Rx |
|---|---|
| Speciality | Clinic/center |
| Location | 236 E Main St, Richmond, Kentucky |
| Authorized Official Name and Position | Kaylee Faye Phelps (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8596254663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenate Rx 236 E Main St Richmond KY 40475-1628 Ph: (859) 582-1087 | Rejuvenate Rx 236 E Main St Richmond KY 40475-1628 Ph: (859) 582-1087 |
| NPI Number | 1033949854 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033949854 | NPI | - | NPPES |
| 7100571220 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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