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Individual

DR. RICHARD SCHUYLER ROUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
7900 SHELBYVILLE RD STE A15, LOUISVILLE, KY 40222-5463
(502) 327-8568
(502) 327-0613
Mailing address
7900 SHELBYVILLE RD STE A15, LOUISVILLE, KY 40222-5463
(502) 327-8568
(502) 327-0613

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1373
SC
152W00000X
Optometrist
Primary
1785DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100210810
KY
Enumeration date
05/17/2007
Last updated
06/26/2019
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