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Individual
KATHRYN MARIE MOEN
Active
Individual
KATHRYN MARIE MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
39141
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
41211
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026524384
—
CO
Enumeration date
01/04/2006
Last updated
05/18/2017
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