Provider Demographics
NPI:1013594704
Name:BIGGE-ROSS, OKTURIA L
Entity Type:Individual
Prefix:
First Name:OKTURIA
Middle Name:L
Last Name:BIGGE-ROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8787 METCALF AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2058
Mailing Address - Country:US
Mailing Address - Phone:913-499-7780
Mailing Address - Fax:913-499-8356
Practice Address - Street 1:8787 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2058
Practice Address - Country:US
Practice Address - Phone:469-999-1181
Practice Address - Fax:913-499-8356
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-27
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician