Kelly L. Ross is a Sports Medicine in Marshall, Missouri. Kelly L. Ross practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kelly L. Ross is 1053384818. The last update date is 2021-08-25.
Kelly L. Ross's current location address is 2305 South 65 Highway, Marshall, Missouri. You can contact this provider via phone number 6608868414 and fax number 6608313325. The mailing address for Kelly L. Ross is 2305 South 65 Highway, Marshall, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L. Ross |
|---|---|
| Address | 2305 South 65 Highway, Marshall, Missouri |
| Phone Number | 6608868414 |
| Fax Number | 6608313325 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1053384818 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2021-08-25 |
Provider Mailing Address Detail
| Address | 2305 South 65 Highway |
|---|---|
| City | Marshall |
| State | Missouri (MO) |
| Post Code | 653403702 |
| Phone Number | 6608868414 |
| Fax Number | 6608313325 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 2005023176 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00266071 | MO | RAIL ROAD MEDICARE | |
| 207593807 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly L. Ross by the Centers for Medicare & Medicaid Services?
The Kelly L. Ross has been issued the NPI (National Provider Identifier) 1053384818 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kelly L. Ross?
The Kelly L. Ross is situated at 2305 South 65 Highway, in the city of Marshall, state of MO, with the zip code 653403702.
What is Kelly L. Ross's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly L. Ross is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053384818 to Kelly L. Ross?
The Kelly L. Ross received its 1053384818 assignment from the Centers for Medicare & Medicaid Services on 2006-02-10.
When was the information regarding Kelly L. Ross, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly L. Ross, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-08-25.