Individual
MS. CAROLYN ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463 COMMONWEALTH AVE, ERLANGER, KY 41018-1425
(859) 342-0655
Mailing address
PO BOX 17522, COVINGTON, KY 41017-0522
(859) 342-0655
(859) 342-0883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY 0816
KY
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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