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Keith Moulds, OD
NPI 1487645065 · on the registry since 2005
Practice
- Address
- 4643 Alpine Ave Nw
A
Comstock Park, MI 49321 - Phone
- (616) 784-8700
- Fax
- (616) 784-8708
- Organisation at this address
- Keith R Moulds Od Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-30
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan