Individual
KATHERINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
615 1ST ST N, ALABASTER, AL 35007-8892
(205) 624-2100
(205) 624-2104
Mailing address
615 1ST ST N, ALABASTER, AL 35007-8892
(205) 624-2100
(205) 624-2104
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.1904
STATE LICENSE
AL
Enumeration date
04/20/2022
Last updated
04/20/2022
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