Dr KELLY MOSS MD is a male medical professional, specializing in Family Medicine. He graduated in 1966 from University Of Kentucky College Of Medicine.
LEWIS COUNTY PRIMARY CARE CENTER INC
211 KY
SUITE 59
VANCEBURG
KY
411797647
Tel: 6067963029
| Npi | 1114936192 |
| Pac Id | 6406807734 |
| Professional Enrollment Id | I20050203000790 |
| Last Name | MOSS |
| First Name | KELLY |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | LEWIS COUNTY PRIMARY CARE CENTER INC |
| Group Practice Pac Id | 1153311774 |
| Number Of Group Practice Members | 47 |
| Line 1 Street Address | 211 KY |
| Line 2 Street Address | SUITE 59 |
| Marker Of Address Line 2 Suppression | |
| City | VANCEBURG |
| State | KY |
| Zip Code | 411797647 |
| Phone Number | 6067963029 |
| Hospital Affiliation Ccn 1 | 180009 |
| Hospital Affiliation Lbn 1 | KING'S DAUGHTERS' MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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