Individual
DR. KENNETH CHI-KONG MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 PLAZA DR STE C, SIKESTON, MO 63801-5105
(573) 481-2210
(573) 481-2220
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7696
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
105230
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247653116
—
MO
Enumeration date
09/12/2005
Last updated
05/18/2018
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