Individual
KEVIN H MOLTENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD152662
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50627555
—
OR
Enumeration date
09/13/2006
Last updated
08/06/2019
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