Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 04-40511 | KS |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 39232 | SC |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0440511 | KS |
NPI | 1548550502 |
---|---|
Provider Name | Dr. Christopher Rose |
First Address | Overland Park, KS 66221-9398 |
Second Address | Overland Park, KS 66221-9398 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2011 |
Last Update Date | 08/04/2020 |