Individual
MR. KENNETH WAYNE MOFFETT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED CERTIFIED
Contact information
Practice address
1315 N COOPER ST #126, ARLINGTON, TX 76011-5564
(214) 462-5387
Mailing address
1315 N COOPER ST #126, ARLINGTON, TX 76011-5564
(214) 462-5387
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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