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

Khaleel Mohammad Moussa

Individual provider Driver · NPI 1558017194

Khaleel Mohammad Moussa is a Driver in Antioch, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

412 Amberton Ct
Antioch, TN 37013-5631
Phone: (615) 521-3962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 106760021 (TN)

Record details

NPI number1558017194
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address412 Amberton Ct, Antioch, TN 37013-5631

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