Individual
KATY ANN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
(870) 584-1053
(870) 584-2087
Mailing address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
(870) 584-1053
(870) 584-2087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
122438
AR
Other
Enumeration date
11/12/2020
Last updated
02/27/2021
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