Individual
RANDY ALLEN ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 HARRODSBURG RD, C-335, LEXINGTON, KY 40504
(859) 276-5355
(859) 275-1630
Mailing address
1401 HARRODSBURG RD, C-335, LEXINGTON, KY 40504
(859) 276-5355
(859) 275-1630
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
42958
KY
207RN0300X
Nephrology Physician
MD035327E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1048161
—
PA
01
—
110029895
RR MEDICARE
—
05
—
1912005117
—
KY
Enumeration date
11/02/2005
Last updated
03/22/2010
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