Individual
SERENE E ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4169 WESTPORT RD STE 124, LOUISVILLE, KY 40207-2747
(502) 558-6818
Mailing address
4169 WESTPORT RD STE 124, LOUISVILLE, KY 40207-2747
(502) 558-6818
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6050
ALL INSURANCE
KY
Enumeration date
12/18/2020
Last updated
12/18/2020
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