Individual
MR. GREG K ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
740 S. LIMESTON, LEXINGTON, KY 40536
(859) 257-1007
Mailing address
2482 CLEAR CREEK RD, NICHOLASVILLE, KY 40356-8742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT202
KY
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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