Individual
KRISTA Y MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 935-8538
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28836
SC
367500000X
Certified Registered Nurse Anesthetist
4704242401
MI
Other
Enumeration date
12/17/2007
Last updated
09/16/2025
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