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Individual

KATHRYN K MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3450
Mailing address
565 RIPPLEWATER DR SW, MARIETTA, GA 30064-2474
(740) 703-7260

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
104422061
WA

Other

Enumeration date
02/11/2021
Last updated
02/11/2021
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