Provider Demographics
NPI:1942616479
Name:DUCKWORTH, RHIANNA
Entity type:Individual
Prefix:
First Name:RHIANNA
Middle Name:
Last Name:DUCKWORTH
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 1:2401 W 25TH ST
Mailing Address - Street 2:APT 8C11
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2941
Mailing Address - Country:US
Mailing Address - Phone:785-217-3572
Mailing Address - Fax:
Practice Address - Street 1:2401 W 25TH ST
Practice Address - Street 2:APT 8C11
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2941
Practice Address - Country:US
Practice Address - Phone:785-217-3572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care