Individual
DR. KERRY W ROSS
Active
Individual
DR. KERRY W ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD32022
TN
208000000X
Pediatrics Physician
MD32022
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110236216
RAILROAD MEDICARE PIN
—
05
—
3877243
—
TN
01
—
4024935
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
05/26/2005
Last updated
04/28/2022
Update your record
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