NPI 1467409862

Samuel Norman Gross, MSRDLD

Practitioner Nutritionist Ellinwood, KS

Practice location

Address: 415 Beverly Dr, Ellinwood, KS 67526-1419
Phone: (620) 564-2922
Fax: (620) 564-2922
Mailing address: 4501 Hoover Dr, Hays, KS 67601-1690

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 1236 (KS)

Other Nutritionist providers in Kansas →

Registry record

NPI: 1467409862
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2006
Record last updated: 24 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.