Kenneth Earl Ross in House Springs - Family Medicine

Kenneth Earl Ross - NPI 1033286596

Kenneth Earl Ross is a Family Medicine in House Springs, Missouri. Kenneth Earl Ross practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Earl Ross is 1033286596. The last update date is 2008-05-29.

Kenneth Earl Ross's current location address is 4 Ponder Executive Plz, House Springs, Missouri. You can contact this provider via phone number 6366711563 and fax number 6366713364. The mailing address for Kenneth Earl Ross is 4 Ponder Executive Plz, House Springs, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Earl Ross
Address 4 Ponder Executive Plz, House Springs, Missouri
Phone Number 6366711563
Fax Number 6366713364
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1033286596
Provider Enumeration Date 2006-11-29
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address 4 Ponder Executive Plz
City House Springs
State Missouri (MO)
Post Code 630513431
Phone Number 6366711563
Fax Number 6366713364

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No R9C07
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
241825306 MO --

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FAQs about Kenneth Earl Ross

What is the unique identifier code issued to Kenneth Earl Ross by the Centers for Medicare & Medicaid Services?

The Kenneth Earl Ross has been assigned the NPI (National Provider Identifier) 1033286596. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Kenneth Earl Ross located?

The Kenneth Earl Ross is located at 4 Ponder Executive Plz, House Springs, MO 630513431.

What is Kenneth Earl Ross's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth Earl Ross's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Kenneth Earl Ross receive the assignment of its 1033286596 from the Centers for Medicare & Medicaid Services?

The Kenneth Earl Ross was issued its 1033286596 by the Centers for Medicare & Medicaid Services on 2006-11-29.

As of what date was the information regarding Kenneth Earl Ross, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth Earl Ross, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-29.

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