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Individual

DR. KATHLEEN YANELLI MOEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1101 MADISON ST, SUITE 800, SEATTLE, WA 98104-1306
(206) 215-2700
(206) 215-2702
Mailing address
1101 MADISON ST, SUITE 800, SEATTLE, WA 98104-1306
(206) 215-2700
(206) 215-2702

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10368
NH
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD60278954
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0RE4880
VT
05
30011560
NH
Enumeration date
06/23/2006
Last updated
05/25/2021
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