Ross, Kevin Lee

Ross, Kevin Lee is an individual health care provider with primary practice located at 104 Northtown Rd , Sparta IL 62286-1081. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ross, Kevin Lee can be contacted via phone (618) 443-3084.

Contact Information

Primary practice address
104 Northtown Rd Sparta IL 62286-1081
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1417796020
LBN Legal business name Ross, Kevin Lee
Credentials CRC
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2024
Last updated May 22nd, 2024 - about 6 months 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.

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