Individual provider · Type 1 NPI

Kelly Nicole Moss, PA-C

Surgical Physician Assistant · West Reading, PA

NPI number 1225512478 Active

Practice location

601 Spruce St
West Reading, PA 19611-1443

Fax (610) 375-1203

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA060308 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1225512478

Kelly Nicole Moss, PA-C's National Provider Identifier is 1225512478, issued on Sep 23, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Reading, PA. The record was last updated on Sep 29, 2026.