Individual
KELLY ANN ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
6614 PLEASANT ST, CINCINNATI, OH 45227-4244
(513) 225-2500
Mailing address
6614 PLEASANT ST, CINCINNATI, OH 45227-4244
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
996160
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996160
RD LICENSE
OH
Enumeration date
04/29/2020
Last updated
04/29/2020
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