Individual
DR. KATHRYN ROSE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-2750
Mailing address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-2750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050108
IL
207RH0003X
Hematology & Oncology Physician
Primary
MD154557
OR
Other
Enumeration date
01/18/2008
Last updated
01/08/2014
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