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NPI Code Detail

MEDICARE: KIMBERLYANN M ROSS MSW

MEDICARE: KIMBERLYANN M ROSS MSW
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 : 1972726487
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLYANN M ROSS MSW
Provider Business Mailing Address
First Line : 617 MORGANTOWN RD
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-5441
Country : US
Telephone Number : 724-438-8416
Fax Number : 724-438-2405
Provider Business Practice Location Address
First Line : 80 OLD NEW SALEM RD
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-8902
Country : US
Telephone Number : 724-438-8416
Fax Number : 724-438-2405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/09/2007

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Directions to “ KIMBERLYANN M ROSS MSW” Practice Location

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