Individual
DR. KELLY A MCCOY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8999 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-4260
(314) 428-2225
(314) 428-3338
Mailing address
8999 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-4260
(314) 428-2225
(314) 428-3338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005013008
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-53978
UNITEDHEALTHCARE
MO
01
—
1060746
CIGNA
MO
01
—
199416
BLUE CROSS BLUE SHIELD
MO
01
—
672752
ACN GROUP
MO
Enumeration date
07/25/2006
Last updated
08/18/2009
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