Individual
JEAN ROMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 SPENCER CT, LA GRANGE, KY 40031-6742
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104539
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100288460
—
KY
Enumeration date
03/15/2007
Last updated
06/14/2016
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