Individual
MRS. KRIS ANN MOGHADAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
177 BURT RD, LEXINGTON, KY 40503-2457
(859) 276-1511
Mailing address
270 CAVE RUN CIR, VERSAILLES, KY 40383-7014
(859) 576-5788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1734
KY
363A00000X
Physician Assistant
TC106
KY
Other
Enumeration date
05/15/2012
Last updated
03/23/2022
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