Individual
DR. EPHESE MOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45043
KY
208M00000X
Hospitalist Physician
01086572A
IN
208M00000X
Hospitalist Physician
Primary
45043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100204020
—
KY
Enumeration date
04/25/2011
Last updated
02/02/2022
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