# FREDRICK M MOSES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144272519
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 0101039736 | KY | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 0101039736 | VA | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 03/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1144272519 | — | VA |
| 05 | — | 7100148440 | — | KY |