Healthcare Provider Details

I. General information

NPI: 1861289746
Provider Name (Legal Business Name): KEYVONA JANET MOULTRIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 MADISON AVE
MEMPHIS TN
38103-3438
US

IV. Provider business mailing address

920 MADISON AVE
MEMPHIS TN
38103-3438
US

V. Phone/Fax

Practice location:
  • Phone: 901-448-5500
  • Fax:
Mailing address:
  • Phone: 901-448-6344
  • Fax: 901-448-6979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: