Provider Demographics
NPI:1962394031
Name:ROSZMAN, KATHARINE BAILEY
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:BAILEY
Last Name:ROSZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SOUTH LIMESTONE STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503
Mailing Address - Country:US
Mailing Address - Phone:859-257-5001
Mailing Address - Fax:
Practice Address - Street 1:900 SOUTH LIMESTONE STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-257-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program