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Individual

JESSICA MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 257-4488
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
41776
KY
207RX0202X
Medical Oncology Physician
Primary
41776
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100058800
KY
Enumeration date
01/04/2007
Last updated
06/04/2020
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