Individual
KENNETT J. MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 SELLERS RD APT A, ANNAPOLIS, MD 21402-1210
(206) 317-9420
Mailing address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-2273
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01052596A
IN
2083A0100X
Aerospace Medicine Physician
01052596A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01052596A
PHYSICIAN
IN
Enumeration date
12/08/2006
Last updated
07/28/2026
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