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1114936192
KELLY G MOSS
VANCEBURG, KY
NPI
1114936192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 14487)
Enumeration Date
2006-08-07
Last Update Date
2012-08-16
Business Address
-- KELLY G MOSS MD
211 KY 59
VANCEBURG, KY 41179-7647
Phone number: 606-796-3029
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Mailing Address
-- KELLY G MOSS MD
PO BOX 550
VANCEBURG, KY 41179-0550
Phone number: 606-796-3029
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