Individual
JARED GRAYSON MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-4888
(859) 323-1123
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-4888
(859) 323-1123
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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