Kevin Matthew Moynihan
Medical Specialty
Professional ID
- NPI: 1982709028
- PECOS ID: 0446233506
- Enrollment ID: I20040609001455
- Credential(MD, DO, DPM): MD
- Medical School: University Of California Davis School Of Medicine
- Medical School Graduation Year: 1992
Hospital Service
- Hospital CCN1: 050336
- Business Name (LBN)1: Lodi Memorial Hospital
Medical Practices
- Organization Name: Healthy Living Primary Care, Inc
- Group Practice ID assigned by PECOS: 6800171257
- Number of Group Practice member: 0
Location
- Address1: 11634 Fair Oaks Blvd
- Address2:
- City: Fair Oaks
- State: California
- Zip Code: 95628
- Phone Number: (916)983-8868
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):