Kenneth R Moultrie in Ballwin - Optometrist
Kenneth R Moultrie - NPI 1376515361
Kenneth R Moultrie is a Optometrist in Ballwin, Missouri. Kenneth R Moultrie practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth R Moultrie is 1376515361. The last update date is 2017-02-02.
Kenneth R Moultrie's current location address is 15933 Clayton Rd, Ballwin, Missouri. You can contact this provider via phone number 6362004393 and fax number 6365270766. The mailing address for Kenneth R Moultrie is 15933 Clayton Rd, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth R Moultrie |
---|---|
Address | 15933 Clayton Rd, Ballwin, Missouri |
Phone Number | 6362004393 |
Fax Number | 6365270766 |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1376515361 |
---|---|
Provider Enumeration Date | 2006-02-03 |
Last Updated Date | 2017-02-02 |
Provider Mailing Address Detail
Address | 15933 Clayton Rd |
---|---|
City | Ballwin |
State | Missouri (MO) |
Post Code | 630112172 |
Phone Number | 6362004393 |
Fax Number | 6365270766 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
---|---|
Taxonomy | 152W00000X |
Licence No | S536TA063 |
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth R Moultrie by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth R Moultrie has been assigned the NPI (National Provider Identifier) 1376515361. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kenneth R Moultrie's facilities are geographically located?
The facilities of Kenneth R Moultrie are physically situated at the following location: 15933 Clayton Rd, Ballwin, MO, 630112172.
What is Kenneth R Moultrie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth R Moultrie's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date was the 1376515361 assigned to Kenneth R Moultrie?
The Kenneth R Moultrie was issued its 1376515361 on 2006-02-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kenneth R Moultrie's information last updated?
The Kenneth R Moultrie's information was last updated on 2017-02-02.