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KENNETH MOSS C.S.A.
NPI 1205950680
in Loganville, GA

Active since March 19, 2007
2602 FALL CREEK LDG, LOGANVILLE, GA 30052(404) 310-2321(404) 985-1694 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Moss C.s.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MOSS C.S.A. (NPI 1205950680) is an individual healthcare provider in Loganville, Georgia, licensed in Georgia (1558) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1205950680
Entity TypeIndividualMale
Primary Taxonomy246ZS0400X
Provider Legal NameKENNETH MOSSCredential: C.S.A.
Location Address2602 FALL CREEK LDGLoganville, GA 30052-5877
Mailing AddressPo Box 888235Atlanta, GA 30356-0235 · (404) 310-2321 · Fax (404) 985-1694
Phone(404) 310-2321
Fax(404) 985-1694
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205950680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty
Taxonomy Code246ZS0400X
License✔ Licensed in GA · 1558
2602 FALL CREEK LDG, Loganville, GA 30052
Open in Google Maps ↗

Other Identifiers 1

Other1558GA · 1558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Moss's NPI number?

The NPI number for Kenneth Moss is 1205950680. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Kenneth Moss located?

Kenneth Moss practices at 2602 Fall Creek Ldg, Loganville, GA 30052. The listed phone number is (404) 310-2321.

When was this NPI record last updated?

The NPPES record for Kenneth Moss was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.