Individual
MOSES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 764-9675
(309) 764-3106
Mailing address
555 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 764-9675
(309) 764-3106
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
TP786
KY
208D00000X
General Practice Physician
Primary
036128765
IL
208D00000X
General Practice Physician
MD-44392
IA
Other
Enumeration date
08/06/2008
Last updated
11/24/2023
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