Individual
KAYLA KIPP MOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
704 GOLD HILL RD, STE 207, FORT MILL, SC 29715-8906
(803) 802-5900
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
355972
NC
363LP0200X
Pediatric Nurse Practitioner
355972
NC
Other
Enumeration date
01/12/2024
Last updated
09/25/2025
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