Kentrece Moss, LPN
Licensed Practical Nurse in Warner Robins, GA. Individual provider (NPI-1).
NPI number1366098147
StatusActive
Last updated in NPPESAug 16, 2019
Details
- NPI
- 1366098147
- Entity type
- Individual (NPI-1)
- Name
- Kentrece Moss
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2019
- Last updated
- Aug 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN096075 | GA | Yes |
Practice location
940 Ga Highway 96 Ste AWarner Robins, GA 31088-2587
Phone 478-988-7100
Mailing address
1501 Us Highway 19 SLeesburg, GA 31763-4915
Phone 229-638-6448
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All 62 Licensed Practical Nurse providers in Warner Robins · All 2,395 providers in Warner Robins
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