Moise, Kenneth Joseph

Moise, Kenneth Joseph is an individual health care provider with primary practice located at 4910 Mueller Blvd Suite 103, Austin TX 78723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Moise, Kenneth Joseph can be contacted via phone (512) 324-7256.

Contact Information

Primary practice address
4910 Mueller Blvd Suite 103 Austin TX 78723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X G9624 Texas

Profile Details

NPI number 1154339547
LBN Legal business name Moise, Kenneth Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated May 20th, 2021 - about 7 months 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 1154339547 NPPES
Texas MEDICAID 133880817

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