Kelly G Ross O.D.

NPI 1073549200 - Optometrist - 152W00000X

NPI Details
NPI 1073549200
Gender Female
Enumeration Date 06/22/2006
Last Updated 12/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1014 W MAIN ST
WALNUT RIDGE AR, 72476-1004, US
Phone (870) 886-2632
Fax (870) 886-1514
Business Location
PO BOX 349
WALNUT RIDGE AR, 72476-0349, US
Phone (870) 886-2632
Fax (870) 886-1514
Taxonomy Code 152W00000X
License State Arkansas
License Number 2485
Remove 1073549200 NPI Number

According to our database, Dr. Kelly G Ross O.D. NPI is 1073549200, taxonomy code is 152W00000X and license number is 2485, license state is located at Arkansas. Kelly G Ross O.D. physically located at 1014 W Main St, Walnut Ridge AR, 72476-1004. NPI Number Kelly G Ross O.D. has the Individual type.

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1073549200 NPI number is provided on an as is basis without warranty of any kind. 1073549200 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly G Ross O.D. are for informational purposes only.