Individual
KIMBERLY B MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S CHERRY ST, OLATHE, KS 66061-3436
(913) 283-4866
Mailing address
21224 W 51ST ST, SHAWNEE, KS 66218-9149
(913) 449-9834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04090
KS
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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