Moss, Kenneth Alan

Moss, Kenneth Alan is an individual health care provider with primary practice located at 701 E Hampden Ave Suite 110, Englewood CO 80113-2736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moss, Kenneth Alan can be contacted via phone (303) 788-8808.

Contact Information

Primary practice address
701 E Hampden Ave Suite 110 Englewood CO 80113-2736
Phone: (303) 788-8808
Fax: (303) 788-6656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 30769 Colorado

Profile Details

NPI number 1184685075
LBN Legal business name Moss, Kenneth Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 21st, 2011 - about 14 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 1184685075 NPPES
Colorado MEDICAID 01307693
Colorado MEDICAID 29024081

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