Individual
MR. ROBERT FICKLIN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9617
(606) 759-0433
(606) 759-0058
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25361
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052212
ANTHEM
KY
05
—
64253610
—
KY
Enumeration date
09/15/2006
Last updated
02/07/2017
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