| Dr Kenneth E Ross DO LLC | |
|
4 Ponder Executive Plz House Springs MO 63051-3431 | |
| (636) 671-1563 | |
| (636) 671-3364 |
| Full Name | Dr Kenneth E Ross DO LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4 Ponder Executive Plz, House Springs, Missouri |
| Authorized Official Name and Position | Kenneth Earl Ross (OWNER) |
| Authorized Official Contact | 6366711563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth E Ross DO LLC 4 Ponder Executive Plz House Springs MO 63051-3431 Ph: (636) 671-1563 | Dr Kenneth E Ross DO LLC 4 Ponder Executive Plz House Springs MO 63051-3431 Ph: (636) 671-1563 |
| NPI Number | 1295038354 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295038354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R9C07 (Missouri) | Primary |
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