# MR. ENOS KENNETH MOSS JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548527997
- **Gender:** Man
- **Credential:** RN, MSN, ANP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 2012011952 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2012011952 | MO | Yes |

## Other

- **Enumeration date:** 04/23/2012
- **Last updated:** 07/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548527997 | — | MO |