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General NPI Number Information
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NPI Number | 1689647042
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Entity Type | Individual
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Provider Name | RODNEY E KOSFELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 315 E BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40202-3700
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Country | US
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Telephone | 502-629-2500
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Fax | 502-629-2055
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Provider Business Mailing Address
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Address Line | 1930 BISHOP LN SUITE 1017
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City | LOUISVILLE
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State | KY
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Zip | 40218-1921
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Country | US
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Telephone | 502-272-5754
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Fax | 502-272-5339
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 01036269A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 20643
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License Number State | KY
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