Individual
MICHAEL KENNETH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 E CROSS ST, OAK HILL, OH 45656-1246
(740) 418-4828
Mailing address
112 E CROSS ST, OAK HILL, OH 45656-1246
(740) 418-4828
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306650
—
OH
Enumeration date
09/12/2020
Last updated
09/24/2020
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