Individual
BERNARD C MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
686 S HWY 25 W, WILLIAMSBURG, KY 40769
(606) 549-5052
(606) 549-2718
Mailing address
686 S HWY 25 W, WILLIAMSBURG, KY 40769
(606) 549-5052
(606) 549-2718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19129
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64191299
—
KY
Enumeration date
09/25/2006
Last updated
01/06/2011
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