Individual
KENNETH P. MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2107 LIVINGSTON ST, SUITE A, OAKLAND, CA 94606-5218
(510) 436-9000
(510) 436-9013
Mailing address
2107 LIVINGSTON ST, SUITE A, OAKLAND, CA 94606-5218
(510) 436-9000
(510) 436-9013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A70905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A709050
—
CA
Enumeration date
08/08/2006
Last updated
03/05/2008
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