Individual
KIMBERLY ANN MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3975
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-5272
AR
208600000X
Surgery Physician
Primary
MD2011-0065
NM
208600000X
Surgery Physician
MD38996
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165024001
—
AR
Enumeration date
10/09/2006
Last updated
02/17/2012
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