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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790102788 | NPPES |
| Kentucky | MEDICAID | 7100660090 |
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