Moll, Kenneth Robert

Moll, Kenneth Robert is an individual health care provider with primary practice located at 2841 Debarr Rd Ste 31, Anchorage AK 99508-2967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moll, Kenneth Robert can be contacted via phone (907) 264-2000.

Contact Information

Primary practice address
2841 Debarr Rd Ste 31 Anchorage AK 99508-2967
Phone: (907) 264-2000
Fax: (907) 222-3298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AA2096 Alaska

Profile Details

NPI number 1326012337
LBN Legal business name Moll, Kenneth Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 21st, 2011 - about 13 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 1326012337 NPPES
Alaska MEDICAID MD995D

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