Individual
MR. STEPHEN MATTHEW ROSE
Active
Individual
MR. STEPHEN MATTHEW ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
34059
KY
207X00000X
Orthopaedic Surgery Physician
Primary
48703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64049240
—
KY
01
—
CC1655
RAILROAD MEDICARE
KY
Enumeration date
05/23/2005
Last updated
07/09/2025
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