Individual
KELLY MICHELLE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 SULLIVAN RD, STATESVILLE, NC 28677-3440
(704) 924-9111
(704) 883-0452
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009456
NC
Other
Enumeration date
06/14/2016
Last updated
08/15/2023
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