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Individual

KASEY MAY MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 761-2200
(207) 761-2108
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 761-2200

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
22319
ND
2084P0800X
Psychiatry Physician
V7394
TX
2084P0804X
Child & Adolescent Psychiatry Physician
79346
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DO2855
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841677804
ME
Enumeration date
04/29/2015
Last updated
04/24/2026
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