Moss, Kevin
Moss, Kevin is an individual health care provider with primary practice located at W180N7950 Town Hall Rd , Menomonee Falls WI 53051-4049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moss, Kevin can be contacted via phone (262) 255-2500.Contact Information
Primary practice address
W180N7950 Town Hall Rd
Menomonee Falls WI 53051-4049
Phone: (262) 255-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32039 | Wisconsin |
Profile Details
| NPI number | 1114991734 |
|---|---|
| LBN Legal business name | Moss, Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jan 27th, 2014 - about 11 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 | 1114991734 | NPPES |
| Wisconsin | MEDICAID | 31703300 |
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