Individual
KELLY ELIZABETH MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 460-0326
(251) 460-2846
Mailing address
PO BOX 91498, MOBILE, AL 36691-1498
(251) 460-0326
(251) 460-2846
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
33236
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174460
—
AL
01
—
511-63913
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/08/2011
Last updated
11/03/2015
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