Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 00296 | KY |
NPI | 1053353607 |
---|---|
Provider Name | Dr. Rhonda A Eichenberger |
First Address | Louisville, KY 40223-2965 |
Second Address | Louisville, KY 40223-2965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 06/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80000581 | (05) | KY |
U99776 | (02) |