Organization
KENNETH ROSS DO LLC
Active
Other names
DR KENNETH E ROSS DO LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH EARL ROSS DO (OWNER)
(636) 671-1563
Entity
Organization
Contact information
Practice address
4 PONDER EXECUTIVE PLZ, HOUSE SPRINGS, MO 63051-3431
(636) 671-1563
(636) 671-3364
Mailing address
4 PONDER EXECUTIVE PLZ, HOUSE SPRINGS, MO 63051-3431
(636) 671-1563
(636) 671-3364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9C07
MO
Other
Enumeration date
12/13/2010
Last updated
01/06/2011
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