# DEER PARK FAMILY DOCTORS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033265731
- **Authorized official:** STEVEN ROSZELL MD (PHYSICIAN PARTNER)
- **Authorized official phone:** (502) 451-5955

## Contact information

- **Practice address:** 1603 STEVENS AVE, LOUISVILLE, KY 40205-1042
- **Practice address phone:** (502) 451-5955
- **Practice address fax:** (502) 451-5925
- **Mailing address:** 1603 STEVENS AVE, LOUISVILLE, KY 40205-1042
- **Mailing address phone:** (502) 451-5955
- **Mailing address fax:** (502) 451-5925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 37462 | KY | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65939753 | — | KY |