Keith J. Moll, M.D.

Pediatrics Physician · Saint Charles, MO

Individual Active NPI

NPI number 1225090756

Practice location

711 Veterans Memorial Pkwy Ste 200
Saint Charles, MO 63303-2106
Phone
(636) 669-2443
Fax
(636) 669-2390

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NPI record

NPI
1225090756
Entity type
Individual (Type 1)
Enumeration date
April 3, 2006
Last updated
June 30, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X R3K13 MO

About Dr. Moll

Keith J. Moll, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303-2106. The NPI number 1225090756 was assigned on April 3, 2006 and the record was last updated on June 30, 2017.

Dr. Moll lists a license in the registry: #R3K13 (MO) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith J. Moll, M.D.?

The NPI number is 1225090756.

What is the phone number of Dr. Moll?

The phone number listed for the practice location is (636) 669-2443.

Where is Dr. Moll located?

711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303-2106.

What is the taxonomy code for Dr. Moll?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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