Keith J Moll is a Pediatrics in Saint Charles, Missouri. Keith J Moll practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Keith J Moll is 1225090756. The last update date is 2017-06-30.
Keith J Moll's current location address is 711 Veterans Memorial Pkwy Ste 200, Saint Charles, Missouri. You can contact this provider via phone number 6366692443 and fax number 6366692390. The mailing address for Keith J Moll is 711 Veterans Memorial Pkwy Ste 200, Saint Charles, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith J Moll |
|---|---|
| Address | 711 Veterans Memorial Pkwy Ste 200, Saint Charles, Missouri |
| Phone Number | 6366692443 |
| Fax Number | 6366692390 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225090756 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2017-06-30 |
Provider Mailing Address Detail
| Address | 711 Veterans Memorial Pkwy Ste 200 |
|---|---|
| City | Saint Charles |
| State | Missouri (MO) |
| Post Code | 633032106 |
| Phone Number | 6366692443 |
| Fax Number | 6366692390 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | R3K13 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202808200 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Keith J Moll by the Centers for Medicare & Medicaid Services?
The Keith J Moll has been issued the NPI (National Provider Identifier) 1225090756 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Keith J Moll?
The Keith J Moll is situated at 711 Veterans Memorial Pkwy Ste 200, in the city of Saint Charles, state of MO, with the zip code 633032106.
What is the Keith J Moll's area of specialization and corresponding taxonomy classification?
The Keith J Moll's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Keith J Moll receive its 1225090756 assignment from the Centers for Medicare & Medicaid Services?
The Keith J Moll was assigned its 1225090756 by the Centers for Medicare & Medicaid Services on 2006-04-03.
As of what date was the information regarding Keith J Moll, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith J Moll, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-06-30.