| James Moss PLLC | |
|
1105 Julianna Ct Suite 1 Elizabethtown KY 42701-7937 | |
| (270) 763-0030 | |
| (270) 763-0050 |
| Full Name | James Moss PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1105 Julianna Ct, Elizabethtown, Kentucky |
| Authorized Official Name and Position | James Moss (OWNER) |
| Authorized Official Contact | 5022440923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Moss PLLC 1105 Julianna Ct Suite 1 Elizabethtown KY 42701-7937 Ph: (270) 763-0030 | James Moss PLLC 1105 Julianna Ct Suite 1 Elizabethtown KY 42701-7937 Ph: (270) 763-0030 |
| NPI Number | 1932492733 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932492733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363AM0700X | Physician Assistant - Medical | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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