Individual
DR. VICTORIA M MOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
437 NORTH CEDAR ST, KINGMAN, KS 67068-1324
(620) 532-3101
(620) 532-3427
Mailing address
437 CEDAR ST, KINGMAN, KS 67068-1324
(620) 532-3101
(620) 532-3427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-21959
KS
207Q00000X
Family Medicine Physician
0521959
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230210B
—
KS
Enumeration date
10/03/2005
Last updated
06/04/2014
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