Individual provider · Type 1 NPI

Elliott Reed Roman

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1811748718 Active

Practice location

500 S Preston St
Louisville, KY 40202-1702

Mailing address

1629 S 3rd St Apt 202
Louisville, KY 40208-1940

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811748718

Elliott Reed Roman's National Provider Identifier is 1811748718, issued on Mar 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Mar 28, 2024.