Individual
ALLIE RUSH ROMINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 AUDUBON PLAZA DR STE 230, LOUISVILLE, KY 40217-1319
(505) 637-3311
(502) 637-3168
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300037892
—
IN
05
—
7100662872
—
KY
Enumeration date
12/18/2018
Last updated
09/04/2024
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