Individual
KANDI OGDEN-MOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UNIVERSITY PKWY, YAKIMA, WA 98901-9539
(541) 892-3443
Mailing address
200 UNIVERSITY PKWY, YAKIMA, WA 98901-9539
(541) 892-3443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81130
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
07/24/2023
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