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NPI Code Detail

MEDICARE: KAMI ROSS

MEDICARE: KAMI ROSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1457900086
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMI ROSS
Provider Business Mailing Address
First Line : 620 8TH AVE
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47804-2771
Country : US
Telephone Number : 812-231-8438
Fax Number :
Provider Business Practice Location Address
First Line : 431 E MAIN ST
Second Line :
City : BLOOMFIELD
State : IN
Zip : 47424-1460
Country : US
Telephone Number : 812-384-9452
Fax Number : 812-384-9445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2019
Last Update Date : 09/06/2019

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Directions to “ KAMI ROSS ” Practice Location

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