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Individual
MR. ENOS KENNETH MOSS JR.
Active
Individual
MR. ENOS KENNETH MOSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2012011952
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2012011952
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548527997
—
MO
Enumeration date
04/23/2012
Last updated
07/29/2026
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