Kelly G Ross Od PA

NPI #1982760955 in Walnut Ridge, Arkansas

Provider Information

NPI Number: 1982760955
Entity Type: Organization
Organization Name: Kelly G Ross Od PA
Primary Specialty: Optometrist
Enumeration Date: Dec 28, 2006
Last Updated: Mar 5, 2009

Practice Location

Address: 1014 W MAIN ST
City: Walnut Ridge
State: Arkansas
ZIP Code: 72476-1004
Phone: (870) 886-2632

Authorized Official

Name: DR. KELLY ROSS, O.D.
Title: OWNER
Phone: (870) 886-2632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Kelly G Ross, O.D.	Optometrist	Walnut Ridge	AI Deep Dive
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