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Individual

DR. ROSS KENNETH COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-8546
Mailing address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
9182
KY
1223G0001X
General Practice Dentistry
Primary
9182
KY

Other

Enumeration date
07/27/2012
Last updated
05/28/2025
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