Individual
MR. KENNETH MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
20 GILBERT AVE, STE. 202, SMITHTOWN, NY 11787-5326
(631) 265-5656
(631) 265-5660
Mailing address
20 GILBERT AVE, STE. 202, SMITHTOWN, NY 11787-5326
(631) 265-5656
(631) 265-5660
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001316
NY
171100000X
Acupuncturist
AP2299
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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