Individual
KENNETH ANDREW MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
1505 SE 12TH ST, LEES SUMMIT, MO 64081-3154
(816) 246-7983
Mailing address
1505 SE 12TH ST, LEES SUMMIT, MO 64081-3154
(816) 246-7983
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
SNP100015
CO
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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