Moffat, Kenneth P

Moffat, Kenneth P is an individual health care provider with primary practice located at 345 23Rd Ave N Suite 350, Nashville TN 37203-1596. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Moffat, Kenneth P can be contacted via phone (615) 983-6000.

Contact Information

Primary practice address
345 23Rd Ave N Suite 350 Nashville TN 37203-1596
Phone: (615) 983-6000
Fax: (615) 983-6010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0000021088 Tennessee
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28160 Kentucky
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 28160 Kentucky
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD0000021088 Tennessee

Profile Details

NPI number 1215926126
LBN Legal business name Moffat, Kenneth P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215926126 NPPES
Tennessee Other 3379053 MEDICARE/GROUP
Tennessee Other 00554 MEDICARE/GROUP
Tennessee MEDICAID 64798374 MEDICARE/GROUP

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