| Doctor Name: | MRS. KATHRYN ELIZABETH ROSENBECK |
| NPI Number: | 1023494952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | NP17496 |
| Business Practice Address: | 228 S Main St Bryan, OH - 435061755 |
| Business Phone Number: | 5672394562 |
| Business Fax Number: | 4192258878 |
| Mailing Address: | 329 N West St, 2nd Floor LIMA |
| State: | OH |
| Postal Code: | 458014332 |
| Phone Number: | 4192213072 |
| Fax Number: | 4195495670 |
| NPI Enumeration Date: | 08/03/2015 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | NP17496 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |