MEDICARE: DR. KRISTINE MOSS DVM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174M00000X	Veterinarian	0301206893	VA

General Provider Information

NPI Number	:	1447187588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTINE MOSS DVM

Provider Business Mailing Address
First Line	:	10015 THOETE RD
Second Line	:
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060-5441
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10015 THOETE RD
Second Line	:
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060-5441
Country	:	US
Telephone Number	:	571-515-8297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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