Individual
HENRY EDWARD MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
727 HOSPITAL DR, SHELBYVILLE, KY 40065
(502) 647-4085
(502) 647-4098
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 647-4085
(502) 647-4098
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37945
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200438870A
—
IN
05
—
64065147
—
KY
Enumeration date
06/20/2006
Last updated
05/07/2019
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