Individual
PAUL JAMES ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11087 MAIN ST, MARTIN, KY 41649-7999
(606) 285-3690
(606) 285-1443
Mailing address
200 WILDCAT DR, OIL SPRINGS, KY 41238-9107
(606) 496-8834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2361
KY
Other
Enumeration date
03/12/2018
Last updated
08/07/2020
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