Individual
DR. KAROLYN KAY MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 439-1100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102203535
VA
207P00000X
Emergency Medicine Physician
DO0000002474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102203535
COMMONWEALTH OF VIRGINIA
VA
01
—
DO0000002474
STATE OF TENNESSEE
TN
Enumeration date
06/22/2009
Last updated
05/31/2023
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