Moss, Kenneth
Moss, Kenneth is an sole proprietor health care provider with primary practice located at 2602 Fall Creek Ldg , Loganville GA 30052-5877. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Moss, Kenneth can be contacted via phone (404) 310-2321.Contact Information
Primary practice address
2602 Fall Creek Ldg
Loganville GA 30052-5877
Phone: (404) 310-2321
Fax: (404) 985-1694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 1558 | Georgia |
Profile Details
| NPI number | 1205950680 |
|---|---|
| LBN Legal business name | Moss, Kenneth |
| Credentials | C.S.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205950680 | NPPES |
| Georgia | Other | 1558 | 1558 |
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