Individual
DR. KATHRYN CARR MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 W LAKE LANSING RD STE C120, EAST LANSING, MI 48823-8483
(517) 337-0957
Mailing address
411 W LAKE LANSING RD STE C120, EAST LANSING, MI 48823-8483
(517) 337-0957
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301098915
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/02/2011
Last updated
09/14/2022
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