Ross, Kenneth Wayne

Ross, Kenneth Wayne is an individual health care provider with primary practice located at 619 N Main St , Muskogee OK 74401-4431. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Ross, Kenneth Wayne can be contacted via phone (918) 682-8407.

Contact Information

Primary practice address
619 N Main St Muskogee OK 74401-4431
Phone: (918) 682-8407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1245876648
LBN Legal business name Ross, Kenneth Wayne
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2019
Last updated Nov 20th, 2019 - about 7 years 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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