Individual
DR. KENNETH ALAN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E HAMPDEN AVE, SUITE 110, ENGLEWOOD, CO 80113-2736
(303) 788-8808
(303) 788-6656
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 788-8808
(303) 788-6656
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30769
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01307693
—
CO
05
—
29024081
—
CO
Enumeration date
03/30/2006
Last updated
07/21/2011
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