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NPI Code Detail

MEDICARE: MS. KERSTIN MOSSO PA-C

MEDICARE:  MS. KERSTIN  MOSSO  PA-C
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
1363AM0700XMedical Physician Assistant0010-05781NC

General Provider Information

NPI Number : 1437534690
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KERSTIN MOSSO PA-C
Provider Business Mailing Address
First Line : 2111 NEUSE BLVD STE J
Second Line :
City : NEW BERN
State : NC
Zip : 28560-4318
Country : US
Telephone Number : 252-636-0300
Fax Number : 252-636-0335
Provider Business Practice Location Address
First Line : 2111 NEUSE BLVD STE J
Second Line :
City : NEW BERN
State : NC
Zip : 28560-4318
Country : US
Telephone Number : 252-636-0300
Fax Number : 252-636-0335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 07/29/2015

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Directions to “ MS. KERSTIN MOSSO PA-C” Practice Location

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