Individual
ELLIOTT REED ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S PRESTON ST, LOUISVILLE, KY 40202-1702
(502) 489-1621
Mailing address
1629 S 3RD ST APT 202, LOUISVILLE, KY 40208-1940
(502) 489-1621
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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