Dr. Kelly L. Ross
Sports Medicine Orthopaedic Surgeon
2305 South 65 Highway
Marshall
, Missouri 65340-3702
Dr. Kelly L. Ross
Sports Medicine Orthopaedic Surgeon
2305 South 65 Highway
Marshall
, Missouri 65340-3702
(660) 831-3325
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kelly L. Ross
- 2305 South 65 Highway
- Marshall, MO
- Zip : 65340-3702
- Fax : (660) 831-3325
- Phone : (660) 831-3553
Second Address
- Dr. Kelly L. Ross
- 2305 South 65 Highway
- Marshall, MO
- Zip : 65340-3702
- Fax : (660) 831-3325
- Phone : (660) 886-8414
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2005023176 | MO |
National Provider Identifier
| NPI | 1053384818 |
|---|---|
| Provider Name | Dr. Kelly L. Ross |
| First Address | Marshall, MO 65340-3702 |
| Second Address | Marshall, MO 65340-3702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2006 |
| Last Update Date | 25/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 207593807 | (05) | MO |
| I41324 | (02) | |
| P00266071 | RAIL ROAD MEDICARE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.