Roose, Kenneth Carlin K.C.

Roose, Kenneth Carlin K.C. is an sole proprietor health care provider with primary practice located at 3250 E 17Th St , Ammon ID 83406-6758. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Roose, Kenneth Carlin K.C. can be contacted via phone (208) 552-7677.

Contact Information

Primary practice address
3250 E 17Th St Ammon ID 83406-6758
Phone: (208) 552-7677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P10920 Idaho

Profile Details

NPI number 1790566404
LBN Legal business name Roose, Kenneth Carlin K.C.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2023
Last updated Oct 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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