Individual
STEPHEN RHODES ROSZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1169 EASTERN PKWY STE 1234, LOUISVILLE, KY 40217-1462
(502) 454-9515
(502) 454-8313
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37462
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201132630
—
IN
05
—
64066038
—
KY
Enumeration date
08/11/2006
Last updated
05/25/2022
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