Organization
MOEN, MD, PC
Active
Other names
Prospero Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MANN (BILLING CREDENTIALING MANAGER)
(901) 422-7608
Entity
Organization
Contact information
Practice address
4900 CALIFORNIA AVE, TOWER B 2ND FLOOR, BAKERSFIELD, CA 93309
(901) 438-6200
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(901) 422-7644
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/27/2021
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