Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Moss, CSA

Individual provider Surgical Technologist · NPI 1205950680

Kenneth Moss, CSA is a Surgical Technologist in Loganville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

2602 Fall Creek Ldg
Loganville, GA 30052-5877
Phone: (404) 310-2321
Fax: (404) 985-1694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 1558 (GA)

Record details

NPI number1205950680
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007