Individual
KEVIN W MOSELEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT ATC
Contact information
Practice address
1510 LAKESHORE DR, HOT SPRINGS, AR 71913
(501) 760-7440
(501) 760-7442
Mailing address
111 COCA BAY PT, 1, HOT SPRINGS, AR 71913
(501) 760-7440
(501) 760-7442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2319
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W137
BCBS
AR
Enumeration date
04/11/2006
Last updated
07/08/2007
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