Individual
KURT WILLIAM MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
HEALTH CENTER AT WARD AND WEST 8000 YORK RD, TOWSON, MD 21252-0001
(410) 704-2000
Mailing address
212 WASHINGTON AVE APT 1712, TOWSON, MD 21204-4735
(563) 940-5380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007468
MD
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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