Kenneth Moss, C.S.A.
Surgical Technologist · Loganville, GA
Practice location
2602 Fall Creek LDGLoganville, GA 30052-5877
- Phone
- (404) 310-2321
- Fax
- (404) 985-1694
NPI record
- NPI
- 1205950680
- Entity type
- Individual (Type 1)
- Enumeration date
- March 19, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgical Technologist Primary | 246ZS0410X |
1558 | GA |
Mailing address
PO Box 888235Atlanta, GA 30356-0235
- Phone
- (404) 310-2321
- Fax
- (404) 985-1694
About Kenneth Moss
Kenneth Moss, C.S.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Technologist (code 246ZS0410X). The practice location is 2602 Fall Creek LDG, Loganville, GA 30052-5877. The NPI number 1205950680 was assigned on March 19, 2007 and the record was last updated on July 8, 2007.
Kenneth Moss lists a license in the registry: #1558 (GA) for Surgical Technologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kenneth Moss, C.S.A.?
The NPI number is 1205950680.
What is the phone number of Kenneth Moss?
The phone number listed for the practice location is (404) 310-2321.
Where is Kenneth Moss located?
2602 Fall Creek LDG, Loganville, GA 30052-5877.
What is the taxonomy code for Kenneth Moss?
The primary taxonomy code is 246ZS0410X – Surgical Technologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.