| NPI | 1295038354 |
|---|---|
| Other Name | DR KENNETH E ROSS DO LLC |
| Entity Type | Organization |
| Authorized Contact | KENNETH EARL ROSS Owner 636-671-1563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R9C07) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2011-01-06 |