Individual
KEVIN A ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST FA
Contact information
Practice address
2211 FAIRVIEW AVE, CASPER, WY 82609-2907
(307) 277-3209
(307) 472-1881
Mailing address
2211 FAIRVIEW AVE, CASPER, WY 82609-2907
(307) 277-3209
(307) 472-1881
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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