Moss, Kirk Tracy

Moss, Kirk Tracy is an individual health care provider with primary practice located at 14Th Mdg 201 Independence Dr, Columbus Afb MS 39710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moss, Kirk Tracy can be contacted via phone (662) 434-2273.

Contact Information

Primary practice address
14Th Mdg 201 Independence Dr Columbus Afb MS 39710
Phone: (662) 434-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2838 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31364 Arizona

Profile Details

NPI number 1396713194
LBN Legal business name Moss, Kirk Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 21st, 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 1396713194 NPPES
Other A0348 BLUE CROSS SUB
MEDICAID MD2838 BLUE CROSS SUB

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