KELLY G MOSS (NPI# 1114936192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114936192 |
| Entity Type | Individual |
| Full Name | KELLY G MOSS |
| Credential | MD |
| Practice Address |
211 Ky 59 Vanceburg KY 41179-7647 |
| Mailing Address |
Po Box 550 Vanceburg KY 41179-0550 |
| Practice Telephone | 6067963029 |
| Practice Fax Number | 6067966221 |
| Mailing Telephone | 6067963029 |
| Mailing Fax Number | 6067966221 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2012-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14487 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64144785 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649646712 | Kelly Moss | Counselor | 102 Aberdeen Dr, Sicklerville, NJ 08081-4338 | 2015-08-12 |
| 1396374476 | Kelly Moss | Behavior Technician | 514 S Hunt Club Blvd, Apopka, FL 32703-4948 | 2020-04-02 |
| 1225512478 | Kelly Nicole Moss | Physician Assistant | 601 Spruce St, West Reading, PA 19611-1443 | 2018-09-23 |
| 1841640455 | Kelly M. Moss | Nurse Practitioner | 700 Sullivan Rd, Statesville, NC 28677-3440 | 2016-06-14 |
| 1407023740 | Kelly Paige Moss | Psychologist | 1650 Cochrane Circle, Evans Army Comm Hosp Behavioral Health 4th Floor, Apo, AA 80913-4604 | 2008-05-15 |
| Street Address |
211 KY 59 |
| City | VANCEBURG |
| State | KY |
| Zip Code | 41179-7647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157815 | Ramon L Barcelona | Family Medicine | 211 Ky 59, Vanceburg, KY 41179 | 2005-07-11 |
| 1881158434 | Nikki Lynn Moore | Nurse Practitioner | 211 Ky 59, Vanceburg, KY 41179-7647 | 2019-01-29 |
| 1700213105 | Judith Jill Bowling Jaggers | Registered Nurse | 211 Ky 59, Vanceburg, KY 41179 | 2013-09-30 |
| 1790088987 | Terrilee Hainline | Nurse Practitioner | 211 Ky 59, Vanceburg, KY 41179-7647 | 2010-12-10 |
| 1699905273 | Kacy Cluxton | Dietitian, Registered | 211 Ky 59, Vanceburg, KY 41179 | 2009-07-17 |
| 1831326305 | Emily Hughes | Dentist | 211 Ky 59, Vanceburg, KY 41179-7647 | 2009-06-11 |
| 1043336506 | Lewis County Primary Care Center, Inc | Clinic/Center | 211 Ky 59, Vanceburg, KY 41179-7647 | 2007-03-22 |
| 1659421907 | Ronald D Mays | Dentist | 211 Ky 59, Vanceburg, KY 41179-7647 | 2007-01-11 |
| 1487766614 | Lewis County Primary Care Center Pharmacy | Pharmacy | 211 Ky 59, Vanceburg, KY 41179-0550 | 2006-09-01 |
| 1164442463 | Christine C Mckain | Emergency Medicine | 211 Ky 59, Vanceburg, KY 41179-7647 | 2006-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731278 | Seth Carroll | Pharmacist | Lewis County Primary Care Center, 211 Ky 59, Vanceburg, KY 41179 | 2020-05-11 |
| 1326699430 | Jackie Kelley | Technician | 19750 Ky 59, Vanceburg, KY 41179 | 2019-09-20 |
| 1487092862 | Portsmouth Emergency Ambulance Service Inc | Ambulance | 1006 Fairlane Drive, Vanceburg, KY 41179 | 2013-06-07 |
| 1740443050 | Glenda J Gayheart | Early Intervention Provider Agency | 8385 E Ky8, Vanceburg, KY 41179 | 2008-07-07 |
| 1568651016 | John D. O'cull Dentistry P.s.c. | Dentist | Rural Route 3037, Vanceburg, KY 41179 | 2007-10-22 |
| 1225237472 | Mary K. Mcclurg | Case Manager/Care Coordinator | Aa Highway, Vanceburg, KY 41179 | 2007-07-17 |
| 1295952604 | Lewis County Health Dept | Public Health or Welfare | 185 Commercial Drive, Lewis County Health Department, Vanceburg, KY 41179 | 2007-04-19 |
| 1982749032 | John D O'cull | Dentist | Route 3037, Vanceburg, KY 41179 | 2007-02-20 |
| 1275681934 | Martha L Parker | Dietitian, Registered | Rt 3 Box 31, Vanceburg, KY 41179 | 2007-01-08 |
| 1750320446 | Family Medical Center | Family Medicine | Hc 75 Box 1005, Vanceburg, KY 41179 | 2006-06-06 |
| Find all providers in zip 41179 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750320446 | Family Medical Center | Family Medicine | Hc 75 Box 1005, Vanceburg, KY 41179 | 2006-06-06 |
| 1144211327 | Tommy Vonluhrte | Family Medicine | Hc 75 Box 443, Vanceburg, KY 41179-9306 | 2005-11-04 |
| 1437157815 | Ramon L Barcelona | Family Medicine | 211 Ky 59, Vanceburg, KY 41179 | 2005-07-11 |
| 1245545706 | Somc Medical Care Foundation, Inc. | Family Medicine | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2010-08-09 |
| 1083811640 | Sarah Grace Porter | Family Medicine | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2007-06-28 |
| 1588703086 | Frances Mary Keating | Family Medicine | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.