Individual
KENDRA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3922 148TH ST SE STE 203, BOTHELL, WA 98012-4752
(425) 225-5310
Mailing address
10818 202ND AVE SE, SNOHOMISH, WA 98290-3642
(425) 290-2340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ARNP.AP.70147520-NP
WA
363LF0000X
Family Nurse Practitioner
Primary
ARNP.AP.70147520-NP
WA
Other
Enumeration date
07/08/2026
Last updated
07/18/2026
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