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Individual
DR. KENNETH STEVEN ROSS
Active
Individual
DR. KENNETH STEVEN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC JD
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050508100
—
FL
01
—
CH4634
LIC NUMBER
—
Enumeration date
10/24/2006
Last updated
05/27/2019
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