Individual
DR. WILLIAM EDWARD MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 MANSLICK RD, SUITE 100, LOUISVILLE, KY 40216-4097
(502) 366-0392
(502) 366-7086
Mailing address
4801 MANSLICK RD, SUITE 100, LOUISVILLE, KY 40216-4097
(502) 366-0392
(502) 366-7086
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16800
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64168008
—
KY
Enumeration date
06/13/2006
Last updated
05/18/2010
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