Individual
DR. JAMES W MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 KENTUCKY ST, ASHLAND, KS 67831-3199
(620) 635-2241
(620) 635-2229
Mailing address
625 KENTUCKY ST, ASHLAND, KS 67831-3199
(620) 635-2241
(620) 635-2229
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0428121
KS
207P00000X
Emergency Medicine Physician
44600
OK
207Q00000X
Family Medicine Physician
Primary
04-28121
KS
207Q00000X
Family Medicine Physician
44600
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100989
BCBS
KS
05
—
30004320790012
—
KS
Enumeration date
04/18/2006
Last updated
02/27/2025
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