Individual
DR. KELLY L. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 886-8414
(660) 831-3325
Mailing address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 831-3553
(660) 831-3325
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2005023176
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207593807
—
MO
01
—
P00266071
RAIL ROAD MEDICARE
MO
Enumeration date
02/10/2006
Last updated
08/25/2021
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