Organization
HAROLD S. MOBERLY M.D. PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD S MOBERLY MD (PHYSICIAN)
(859) 744-2732
Entity
Organization
Contact information
Practice address
246 W LEXINGTON AVE, WINCHESTER, KY 40391-1957
(859) 744-2732
Mailing address
246 W LEXINGTON AVE, WINCHESTER, KY 40391-1957
(859) 744-2732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12014
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047309
ANTHEM
KY
01
—
207Q00000X
TAXONOMY
KY
05
—
64120140
—
KY
05
—
65913196
—
KY
Enumeration date
04/08/2008
Last updated
04/08/2008
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