Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH DAVID MOSIENKO, M.D.
Active Sole ProprietorDR. KEITH DAVID MOSIENKO, M.D. is a Preventive Medicine healthcare provider located in PEORIA, Arizona. NPI 1275670242 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · PEORIA, AZ
Registration Details
- NPI Number
- 1275670242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2007 (19.556463700292 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19175 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6865 W BRILES RDPEORIA, AZ, 853837015Browse AZ providers · Browse ZIP 85383
- Phone
- 6233769038
- Primary Specialty
-
Preventive Medicine
2083P0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.