NPI 1760507636

Kimberly Jo Ross, BS

Practitioner Other Technician Kingsport, TN

Practice location

Address: 2017 Stonebrook Place, Kingsport, TN 37660
Phone: (423) 224-1417
Fax: (423) 224-1418
Mailing address: PO Box 9054, Gray, TN 37615-9054

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Tennessee →

Registry record

NPI: 1760507636
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2007
Record last updated: 8 Jul 2007

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.