Individual
DR. KENNETH ROBERT MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2841 DEBARR RD, STE 31, ANCHORAGE, AK 99508-2967
(907) 264-2000
(907) 222-3298
Mailing address
2841 DEBARR RD, STE 31, ANCHORAGE, AK 99508
(907) 264-2000
(907) 222-3298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA2096
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD995D
—
AK
Enumeration date
02/15/2006
Last updated
10/21/2011
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