Moseley, Kimberly Ann

Moseley, Kimberly Ann is an individual health care provider with primary practice located at 455 Saint Michaels Dr , Santa Fe NM 87505-7601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Moseley, Kimberly Ann can be contacted via phone (505) 913-3975.

Contact Information

Primary practice address
455 Saint Michaels Dr Santa Fe NM 87505-7601
Phone: (505) 913-3975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD38996 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X E-5272 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2011-0065 New Mexico

Profile Details

NPI number 1396832416
LBN Legal business name Moseley, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Feb 17th, 2012 - about 12 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 1396832416 NPPES
Arkansas MEDICAID 165024001

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