Rossow, Katelyn

Rossow, Katelyn is an individual health care provider with primary practice located at 411 E Chestnut St , Louisville KY 40202-1713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Rossow, Katelyn can be contacted via phone (502) 588-0850.

Contact Information

Primary practice address
411 E Chestnut St Louisville KY 40202-1713
Phone: (502) 588-0850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55729 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01079254A Indiana
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 01079254A Indiana
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 56397 Tennessee
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 55729 Kentucky

Profile Details

NPI number 1790102788
LBN Legal business name Rossow, Katelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Dec 2nd, 2021 - about 4 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 1790102788 NPPES
Kentucky MEDICAID 7100660090

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