KENYA D MOSS

EAST CHICAGO, IN
NPI1982489332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71014366A)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  28201922A)
Enumeration Date2023-08-25
Last Update Date2023-09-25
Business Address
KENYA D MOSS PMHNP-BC
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Phone number: 219-392-7446
Mailing Address
KENYA D MOSS PMHNP-BC
16700 LUELLA AVE
SOUTH HOLLAND, IL 60473-2619
Phone number: 708-715-7320