Ross, Kenneth Earl
Ross, Kenneth Earl is an individual health care provider with primary practice located at 4 Ponder Executive Plz , House Springs MO 63051-3431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ross, Kenneth Earl can be contacted via phone (636) 671-1563.Contact Information
Primary practice address
4 Ponder Executive Plz
House Springs MO 63051-3431
Phone: (636) 671-1563
Fax: (636) 671-3364
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R9C07 | Missouri |
Profile Details
NPI number | 1033286596 |
---|---|
LBN Legal business name | Ross, Kenneth Earl |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2006 |
Last updated | May 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033286596 | NPPES |
Missouri | MEDICAID | 241825306 |
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