# MRS. KRIS ANN MOGHADAMIAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518226240
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA1734 | KY | Yes |
| 363A00000X | Physician Assistant | TC106 | KY | — |

## Other

- **Enumeration date:** 05/15/2012
- **Last updated:** 03/23/2022