Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Garry Leonard Rose, YPSSCERTIFIED

Individual provider Peer Specialist · NPI 1316591050

Garry Leonard Rose, YPSSCERTIFIED is a Peer Specialist in Radcliff, Kentucky. Licensed in Kentucky. Registered with an NPI since 2019.

Licensed in
KY
In the registry since
2019

Practice location Address checks out

1072 S Dixie Blvd
Radcliff, KY 40160-1103
Phone: (270) 473-1624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (KY)

Record details

NPI number1316591050
Entity typeIndividual (Type 1)
GenderMale
Credentials YPSSCERTIFIED
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020