Moll, Keith J
Moll, Keith J is an individual health care provider with primary practice located at 711 Veterans Memorial Pkwy Ste 200 , Saint Charles MO 63303-2106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moll, Keith J can be contacted via phone (636) 669-2443.Contact Information
Primary practice address
711 Veterans Memorial Pkwy Ste 200
Saint Charles MO 63303-2106
Phone: (636) 669-2443
Fax: (636) 669-2390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R3K13 | Missouri |
Profile Details
| NPI number | 1225090756 |
|---|---|
| LBN Legal business name | Moll, Keith J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jun 30th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225090756 | NPPES |
| Missouri | MEDICAID | 202808200 |
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