Moylan, Kyle C

Moylan, Kyle C is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Im Palliative Med, Ste 241, Saint Louis MO 63108-1495. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Moylan, Kyle C can be contacted via phone (314) 747-5361.

Contact Information

Primary practice address
4901 Forest Park Ave Div Im Palliative Med, Ste 241 Saint Louis MO 63108-1495
Phone: (314) 747-5361
Fax: (314) 747-5357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2001027314 Missouri
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 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 Jul 15th, 2025 - about last year

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

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