Individual
KELLEY HOWARD ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9908 COULOAK DR, STE 201, CHARLOTTE, NC 28216-8678
(704) 801-2075
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2006-01097
NC
Other
Enumeration date
08/30/2006
Last updated
05/04/2023
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