Kenneth D Rose is a Surgery in Mishawaka, Indiana. Kenneth D Rose practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kenneth D Rose is 1588658801. The last update date is 2012-12-04.
Kenneth D Rose's current location address is 303 S Main St, Mishawaka, Indiana. You can contact this provider via phone number 5742553888 and fax number 5742561632. The mailing address for Kenneth D Rose is 303 S Main St, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth D Rose |
|---|---|
| Address | 303 S Main St, Mishawaka, Indiana |
| Phone Number | 5742553888 |
| Fax Number | 5742561632 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588658801 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2012-12-04 |
Provider Mailing Address Detail
| Address | 303 S Main St |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465442189 |
| Phone Number | 5742553888 |
| Fax Number | 5742561632 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 1055738 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200355260 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth D Rose by the Centers for Medicare & Medicaid Services?
The Kenneth D Rose has been assigned the NPI (National Provider Identifier) 1588658801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kenneth D Rose's physical address?
The Kenneth D Rose is physically located at 303 S Main St, in the city of Mishawaka, IN, with the postal code 465442189.
What is the area of specialization for Kenneth D Rose, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth D Rose is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588658801 to Kenneth D Rose?
The Centers for Medicare & Medicaid Services assigned the 1588658801 to Kenneth D Rose on 2005-09-01.
When was the information related to Kenneth D Rose most recently updated or refreshed?
The details pertaining to the Kenneth D Rose, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-12-04.