Individual
KOBI B MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4333 W ST JOE HWY, LANSING, MI 48917-4100
(517) 321-1525
(517) 321-7059
Mailing address
4333 W ST JOE HWY, LANSING, MI 48917-4100
(517) 321-1525
(517) 321-7059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008921
MI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155893
NCCPA
—
Enumeration date
09/25/2018
Last updated
10/14/2020
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