Individual
KELSEY VERA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-1000
Mailing address
100 PARK ST, GLENS FALLS, NY 12801-4413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
631978
NY
363LA2100X
Acute Care Nurse Practitioner
433483
NY
367500000X
Certified Registered Nurse Anesthetist
291293
NC
367500000X
Certified Registered Nurse Anesthetist
631978
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11036664
FL
Other
Enumeration date
12/23/2016
Last updated
11/06/2025
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