Search › Wisconsin › 347E00000X
Kevin Moua
NPI 1750975744 · on the registry since 2021 · sole proprietor
Practice
- Address
- 8820 W Mill Rd
Milwaukee, WI 53225 - Phone
- (414) 797-0616
- Fax
- (414) 635-3169
Registry record
- Primary taxonomy
- 347E00000X
347E00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-22
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 Wisconsin