Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH MOSS, C.S.A.
Active Sole ProprietorKENNETH MOSS, C.S.A. is a Medical Laboratory Technician healthcare provider located in LOGANVILLE, Georgia. NPI 1205950680 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · LOGANVILLE, GA
Registration Details
- NPI Number
- 1205950680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.378878576943 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1558 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2602 FALL CREEK LDGLOGANVILLE, GA, 300525877Browse GA providers · Browse ZIP 30052
- Phone
- 4043102321
- Fax
- 4049851694
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.