Individual
ROGER B MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
823 SW MULVANE ST, SUITE 210, TOPEKA, KS 66606-1679
(785) 235-3451
(785) 235-1435
Mailing address
823 SW MULVANE ST, SUITE 210, TOPEKA, KS 66606-1679
(785) 235-3451
(785) 235-1435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54697
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
54697
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100357700A
—
KS
05
—
100357700D
—
KS
01
—
145473
BCBS
KS
Enumeration date
04/13/2006
Last updated
02/20/2026
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