Individual
ROXANNE SERVICES KOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP, LP
Contact information
Practice address
311 W MAPLE ST, NICHOLASVILLE, KY 40356-1241
(859) 552-5690
Mailing address
311 W MAPLE ST, NICHOLASVILLE, KY 40356-1241
(859) 552-5690
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
0000123
TX
242T00000X
Perfusionist
000067
CT
242T00000X
Perfusionist
000350
NY
242T00000X
Perfusionist
Primary
100000117
NC
242T00000X
Perfusionist
178
GA
242T00000X
Perfusionist
2006034698
MO
242T00000X
Perfusionist
25M10010700
NJ
242T00000X
Perfusionist
—
—
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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