Individual
ALEXIS M MOSVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 MARQUETTE DR, LOUISVILLE, KY 40222-4719
(502) 296-5009
Mailing address
409 MARQUETTE DR, LOUISVILLE, KY 40222-4719
(502) 296-5009
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
KY-0480
KY
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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