Individual
MS. KATHLEEN ANN MOULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 W 4TH ST, WALSENBURG, CO 81089-1910
(719) 738-1164
(719) 738-3399
Mailing address
PO BOX 52, GARDNER, CO 81040-0052
(719) 746-2069
(719) 738-3399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78274
CO
Other
Enumeration date
03/27/2007
Last updated
11/04/2016
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