Moylan, Kyle C

Moylan, Kyle C is an individual health care provider with primary practice located at 1011 Bowles Ave Suite 450, Fenton MO 63026-2395. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moylan, Kyle C can be contacted via phone (314) 467-1500.

Contact Information

Primary practice address
1011 Bowles Ave Suite 450 Fenton MO 63026-2395
Phone: (314) 467-1500
Fax: (314) 467-1515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 2001027314 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2001027314 Missouri

Profile Details

NPI number 1124052808
LBN Legal business name Moylan, Kyle C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 23rd, 2020 - about 5 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 1124052808 NPPES
Missouri MEDICAID 209080407
Missouri Other 209080
Missouri Other 543164

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