# KENNETH M GROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831155969
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD00020430 | WA | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 08/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 069741009 | GROUP HEALTH PROVIDER NUM | WA |
| 05 | — | 8114050 | — | WA |