Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R4166 | KY |
N | 111NI0900X | Internist | R4166 | KY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 52305 | KY |
NPI | 1053773465 |
---|---|
Provider Name | Kyle Rosenstein |
First Address | Lexington, KY 40504-3543 |
Second Address | Lexington, KY 40504-3543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 09/07/2020 |