Individual
DR. EMMETT PAUL MOBLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7490
(859) 229-0499
Mailing address
3732 PARK RIDGE LN, LEXINGTON, KY 40509-2940
(859) 543-0169
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33721
KY
2085R0202X
Diagnostic Radiology Physician
C050195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64013139
—
KY
Enumeration date
12/09/2005
Last updated
05/12/2008
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