# MOEN, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prospero Health Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265038681
- **Authorized official:** MRS. KIMBERLY MANN (BILLING CREDENTIALING MANAGER)
- **Authorized official phone:** (901) 422-7608

## Contact information

- **Practice address:** 4900 CALIFORNIA AVE, TOWER B 2ND FLOOR, BAKERSFIELD, CA 93309
- **Practice address phone:** (901) 438-6200
- **Mailing address:** 50 S B B KING BLVD, MEMPHIS, TN 38103-2626
- **Mailing address phone:** (901) 422-7644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2020
- **Last updated:** 12/27/2021