Individual
DR. J. KATHLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26000
MS
208000000X
Pediatrics Physician
Primary
J0605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J0605
MEDICAL LIS
TX
Enumeration date
10/03/2006
Last updated
10/19/2023
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