KELLY G MOSS (MD) – Family Medicine Physician, NPI 1114936192

KELLY G MOSS (MD) is a healthcare provider. based in Vanceburg, Kentucky. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 14487 (KY). The NPI Number for KELLY G MOSS (MD) is 1114936192

Main info

Male
60 Years Of Experience
Accepts Medicare Assignment
Name
KELLY G MOSS (MD)
NPI
1114936192
Phone
(606) 796-3029
Address
PO BOX 550
Enumeration Date
7 August 2006
Last Update Date
16 August 2012

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6067963029
Graduation Year
1966 (60 years ago)
PAC ID
6406807734
Group Practice PAC ID
1153311774
Professional Enrollment ID
I20050203000790
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY G MOSS (MD)

  • PO BOX 550

    VANCEBURG, KY 411790550

    Phone: (606) 796-3029

    Fax: (606) 796-6221

    Type: Mailing

  • 211, Fairlane Drive, Vanceburg, Lewis County, Kentucky, 41179, United States

    VANCEBURG, KY 411797647

    Phone: (606) 796-3029

    Fax: (606) 796-6221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41179)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153311774View full group profile
NameSpecialtyState
Physician AssistantKY
P S Y C H I A T R YKY
Physician AssistantOH
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY

Reviews

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Frequently asked questions

What is the standard ID for KELLY G MOSS (MD) in the U.S.?
In the U.S., KELLY G MOSS (MD) is identified by NPI 1114936192.
Quick check: is KELLY G MOSS (MD) active?
Public NPPES data shows KELLY G MOSS (MD) with an active NPI status right now.
What type of care does KELLY G MOSS (MD) provide?
KELLY G MOSS (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY G MOSS (MD)?
The directory associates KELLY G MOSS (MD) with Vanceburg, Kentucky. Check all listed addresses for suites or satellite offices.
Why is information missing for KELLY G MOSS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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