IndividualActive
Samuel Gross, MS.RD.LD
NPI 1467409862 · Nutritionist · Ellinwood, KS
Provider details
- NPI number
- 1467409862
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- MS.RD.LD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1236 (KS)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
415 Beverly Dr
Ellinwood, KS 67526-1419
Phone: (620) 564-2922
Fax: (620) 564-2922
Approximate (ZIP-level) locationGet directions
Mailing address
4501 Hoover Dr
Hays, KS 67601-1690
Registry dates
- Enumerated
- 2006-05-30
- Last updated
- 2018-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.