# KARL G. ROSE M.D., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1760040315
- **Authorized official:** DR. KARL ROSE MD (OWNER)
- **Authorized official phone:** (937) 294-2555

## Contact information

- **Practice address:** 3017 WILMINGTON PIKE, KETTERING, OH 45429-4075
- **Practice address phone:** (937) 294-2555
- **Practice address fax:** (937) 294-3211
- **Mailing address:** PO BOX 292305, KETTERING, OH 45429-0305
- **Mailing address phone:** (937) 294-2555
- **Mailing address fax:** (937) 294-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2019
- **Last updated:** 08/01/2019