Individual
DR. JOHN MOSER JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2161 LEXINGTON ROAD, SUITE #1, RICHMOND, KY 40475-0000
(859) 624-8647
(859) 624-5044
Mailing address
2161 LEXINGTON RD, SUITE #1, RICHMOND, KY 40475-7952
(859) 624-8647
(859) 624-5044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17876
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
609154200
FBL PROVIDER ID
KY
05
—
64178767
—
KY
Enumeration date
07/21/2005
Last updated
06/05/2013
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