Individual
KATHRYN MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
735 US HIGHWAY 24, LEADVILLE, CO 80461
(719) 486-0500
Mailing address
735 US HIGHWAY 24, LEADVILLE, CO 80461-3978
(719) 486-0500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993347-NP
CO
Other
Enumeration date
10/18/2017
Last updated
02/13/2019
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