Individual
STEPHEN MICHAEL MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 E PRESCOTT RD, SALINA, KS 67401-7408
(785) 825-7251
Mailing address
651 E PRESCOTT RD, SALINA, KS 67401-7408
(785) 825-7251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-42740
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-42740
KANSAS BOARD OF HEALING ARTS
KS
Enumeration date
06/11/2018
Last updated
12/04/2019
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