Individual
MOSES KYOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
1340 CHARLES ST STE 300, ROCKFORD, IL 61104-2200
(779) 696-5888
(779) 696-5898
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-145828
IL
207UN0901X
Nuclear Cardiology Physician
036-145828
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02509162
—
NY
Enumeration date
10/21/2005
Last updated
04/09/2021
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