Individual
KENNETH BRIAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2727 W. MLK BLVD., STE 300, TAMPA, FL 33607
(813) 874-5707
Mailing address
2727 W. MLK BLVD., STE 300, TAMPA, FL 33607
(813) 874-5707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
970591
MD
207P00000X
Emergency Medicine Physician
Primary
ME1110098
FL
Other
Enumeration date
06/11/2007
Last updated
09/29/2011
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