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Individual
DR. KEVIN G ROSE
Active
Individual
DR. KEVIN G ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
5575028-1205
UT
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
5575028-1205
UT
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
5575028-1205
UT
Other
Enumeration date
06/21/2006
Last updated
07/16/2008
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