Rosen, Randy Allen

Rosen, Randy Allen is an individual health care provider with primary practice located at 1401 Harrodsburg Rd C-335, Lexington KY 40504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rosen, Randy Allen can be contacted via phone (859) 276-5355.

Contact Information

Primary practice address
1401 Harrodsburg Rd C-335 Lexington KY 40504
Phone: (859) 276-5355
Fax: (859) 275-1630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD035327E Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 42958 Kentucky

Profile Details

NPI number 1508857129
LBN Legal business name Rosen, Randy Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 22nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508857129 NPPES
Pennsylvania MEDICAID 1048161
Pennsylvania Other 110029895
Pennsylvania MEDICAID 1912005117

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