Moss, Kevin

Moss, Kevin is an individual health care provider with primary practice located at 1055 N Dixie Fwy Ste 1 , New Smyrna Beach FL 32168-6200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Moss, Kevin can be contacted via phone (386) 423-0505.

Contact Information

Primary practice address
1055 N Dixie Fwy Ste 1 New Smyrna Beach FL 32168-6200
Phone: (386) 423-0505
Fax: (386) 423-0515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301063798 Michigan

Profile Details

NPI number 1265987937
LBN Legal business name Moss, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2016
Last updated Aug 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265987937 NPPES
Michigan Other 4301063798 MEDICAL LICENSE NUMBER

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