Doctor Name: | MS. CAROLYN ROUSE |
NPI Number: | 1326254590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | KY 0816 |
Business Practice Address: | 463 Commonwealth Ave Erlanger, KY - 410181425 |
Business Phone Number: | 8593420655 |
Business Fax Number: | |
Mailing Address: | Po Box 17522, COVINGTON |
State: | KY |
Postal Code: | 410170522 |
Phone Number: | 8593420655 |
Fax Number: | 8593420883 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | KY 0816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |