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KIMRA ROSS MD NPI 1033149570


NPI Information

NPI: 1033149570
Provider Name: KIMRA ROSS, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1030 MCINTOSH CIR
STE 2
JOPLIN, MO
ZIP 64804
Phone: (417) 782-9393
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Kimra Ross, MD is a pediatrics in Joplin, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kimra Ross, MD NPI is 1033149570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1030 MCINTOSH CIR
STE 2
JOPLIN, MO
ZIP 64804-642
Phone: (417) 782-9393
Fax: (417) 782-4659

The enumeration date for this NPI number is 7/3/2006 and was last updated on 1/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsR1P51MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F80794MEDICARE UPIN
2203010707MEDICAIDMISSOURI
3100027400AMEDICAIDOKLAHOMA
4149422OTHERMISSOURIANTHEM
5100125890BMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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