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General NPI Number Information
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NPI Number | 1255625380
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Entity Type | Individual
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Provider Name | ROSS ALLEN KELLING DPT
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Gender | Male
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 9151 NE 81ST TER STE 110
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City | KANSAS CITY
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State | MO
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Zip | 64158-1176
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Country | US
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Telephone | 816-415-4971
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Fax |
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Provider Business Mailing Address
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Address Line | 7405 N BOOTH AVE
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City | KANSAS CITY
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State | MO
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Zip | 64158-1263
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Country | US
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Telephone | 816-797-7417
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2011015508
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License Number State | MO
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