Individual
KATELYN ROSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(502) 588-0850
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01079254A
IN
208000000X
Pediatrics Physician
55729
KY
2080P0006X
Developmental - Behavioral Pediatrics Physician
01079254A
IN
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
55729
KY
2080P0006X
Developmental - Behavioral Pediatrics Physician
56397
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100660090
—
KY
Enumeration date
03/27/2014
Last updated
07/15/2025
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