| Doctor Name: | JOSHUA CHARLES MOULIN |
| NPI Number: | 1053503458 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | T01460 |
| Business Practice Address: | 1100 Columbine Drive Holton, KS - 664368824 |
| Business Phone Number: | 7853642126 |
| Business Fax Number: | 7853642801 |
| Mailing Address: | 1100 Columbine Drive, HOLTON |
| State: | KS |
| Postal Code: | 664368824 |
| Phone Number: | 7853642126 |
| Fax Number: | 7853642801 |
| NPI Enumeration Date: | 08/10/2007 |
| NPI Last Update Date: | 02/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | T01460 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |