SearchKentucky183500000X

Eric Rose

NPI 1023618410 · on the registry since 2020 · sole proprietor

Practice

Address
1701 N Main St
Beaver Dam, KY 42320
Phone
(270) 274-4464
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky