Individual
HAROLD SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
1629 MADISON AVE, COVINGTON, KY 41011-3317
(859) 489-4719
Mailing address
1629 MADISON AVE, COVINGTON, KY 41011-3317
(859) 489-4719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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