Individual
J R ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 684-9218
(270) 684-0941
Mailing address
PO BOX 1959, OWENSBORO, KY 42302-1959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14833
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64148331
—
KY
Enumeration date
05/25/2006
Last updated
03/16/2021
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