Basic Information
Provider Information
NPI: 1760918700
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FEINAUER
FirstName: RACHEL
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 237 WILLIAM HOWARD TAFT RD # CBO 2/3
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192610
CountryCode: US
TelephoneNumber: 5133519900
FaxNumber:  
Practice Location
Address1: 1955 DIXIE HWY
Address2:  
City: FT WRIGHT
State: KY
PostalCode: 410112792
CountryCode: US
TelephoneNumber: 8593415757
FaxNumber: 8593314757
Other Information
ProviderEnumerationDate: 05/11/2017
LastUpdateDate: 10/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X04756KYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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