Individual
KURTIS EUGENE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
128607
NC
208600000X
Surgery Physician
0101-253023
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101-253023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VV8610A
MEDICARE PTAN
VA
Enumeration date
05/20/2008
Last updated
05/10/2021
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