Individual
DR. KELLY MARIE MOXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
8800 GLACIER HWY, SUITE 218, JUNEAU, AK 99801-8087
(907) 789-0405
(907) 789-2925
Mailing address
8800 GLACIER HWY, SUITE 218, JUNEAU, AK 99801-8087
(907) 789-0405
(907) 789-2925
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1821
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
6398
AK
213ES0103X
Foot & Ankle Surgery Podiatrist
E 4753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6398
STATE LICENSE
AK
Enumeration date
05/29/2007
Last updated
10/24/2008
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