Individual
KATHRYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1614 DIAMOND STREET PL, ONAWA, IA 51040
(712) 423-1525
(712) 423-2528
Mailing address
1614 DIAMOND STREET PL, ONAWA, IA 51040-1554
(712) 423-1525
(712) 423-2528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A122223
IA
Other
Enumeration date
07/01/2014
Last updated
07/27/2018
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