Individual
DR. KATHRYN S MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 598-6061
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19570
WV
2080P0208X
Pediatric Infectious Diseases Physician
Primary
19570
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111774000
—
WV
Enumeration date
03/19/2007
Last updated
04/13/2022
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