Kyle C Moylan
Internist Geriatric Medicine
1011 Bowles Ave Suite 450
Fenton
, Missouri 63026-2395
Kyle C Moylan
Internist Geriatric Medicine
1011 Bowles Ave Suite 450
Fenton
, Missouri 63026-2395
(314) 467-1515
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Kyle C Moylan
- Po Box 23340
- Saint Louis, MO
- Zip : 63156-3340
- Fax : (314) 467-1515
- Phone : (314) 467-1500
Second Address
- Kyle C Moylan
- 1011 Bowles Ave Suite 450
- Fenton, MO
- Zip : 63026-2395
- Fax : (314) 467-1515
- Phone : (314) 467-1500
Reviews
FAQs
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Is Kyle C Moylan a sole practitioner?
Is Kyle C Moylan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 2001027314 | MO |
| Y | 111NI0900X | Internist | 2001027314 | MO |
| N | 207RG0300X | Geriatric Medicine | 2001027314 | MO |
National Provider Identifier
| NPI | 1124052808 |
|---|---|
| Provider Name | Kyle C Moylan |
| First Address | Saint Louis, MO 63156-3340 |
| Second Address | Fenton, MO 63026-2395 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 23/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209080 | BLUE CHOICE (01) | MO |
| 209080407 | (05) | MO |
| 543164 | HEALTHLINK (01) | MO |
| H85013 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.