Individual
KYMMALETT ANNTYONETTE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
130 PRESTON EXECUTIVE DR STE 202, CARY, NC 27513-8433
(931) 302-3638
Mailing address
10 CABES MILL RD, DURHAM, NC 27705-1405
(931) 302-3638
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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