Individual
DR. DANNY RAY ROSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD STE 305, LOUISVILLE, KY 40241-2849
(502) 394-6460
(502) 394-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
48609
KY
2084N0400X
Neurology Physician
IP1321
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2010
Last updated
03/11/2020
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