Individual
DR. KELLY L. ROSS
Active
Individual
DR. KELLY L. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
W8090
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2005023176
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
W8090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207593807
—
MO
01
—
P00266071
RAIL ROAD MEDICARE
MO
Enumeration date
02/10/2006
Last updated
08/07/2026
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