National Provider Identifier Database

SANDRA D MOSS, MD – NPI #1720166523
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

SANDRA D MOSS, MD
290 OLD JACKSON HWY 31E
GLASGOW, KY42141
Phone: 270-678-5740
Fax: 270-678-4701
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SANDRA D MOSS

NPI Number 1720166523
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 19876
  • KY Medicaid: 64198765
  • KY Other: 000000045939 BCBS INDIVIDUAL NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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