Individual
KRISTEN MOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Mailing address
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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