SearchKansas133N00000X

Samuel Gross, MS.RD.LD

NPI 1467409862 · on the registry since 2006 · sole proprietor

Practice

Address
415 Beverly Dr
Ellinwood, KS 67526
Phone
(620) 564-2922
Fax
(620) 564-2922

Registry record

Primary taxonomy
133N00000X
133N00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas