Individual
DR. JONATHAN M MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 NEW HARTFORD RD STE A, OWENSBORO, KY 42303-1705
(270) 684-5034
(270) 685-2053
Mailing address
3400 NEW HARTFORD RD STE A, OWENSBORO, KY 42303-1705
(270) 684-5034
(270) 685-2053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03435
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014580
—
IN
05
—
7100205500
—
KY
Enumeration date
04/25/2012
Last updated
09/23/2021
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