Individual
DR. ROSE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 N DIXON RD, KOKOMO, IN 46901-4154
(765) 236-8282
Mailing address
138 N DIXON RD, KOKOMO, IN 46901-4154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054569A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200969560
—
IN
Enumeration date
11/12/2009
Last updated
08/08/2022
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