Search › Arkansas › 363LF0000X
Katy Moss
NPI 1972105054 · on the registry since 2020
Practice
- Address
- 500 E Collin Raye Dr
De Queen, AR 71832 - Phone
- (870) 584-1053
- Fax
- (870) 584-2087
- Organisation at this address
- Pruetts Food Inc
Lansdell Enterprise Corp
Lansdell Enterprise Corp
Iti Chito Enterprises Inc
Iti Chito Enterprises IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1000 Pine St, Texarkana, TX
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas