Individual
KATHRYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 MOUNT AUBURN ST STE 414, CAMBRIDGE, MA 02138-5665
(617) 864-0503
(617) 441-4033
Mailing address
300 MOUNT AUBURN ST STE 414, CAMBRIDGE, MA 02138-5665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA8030
MA
363AM0700X
Medical Physician Assistant
Primary
PA8030
MA
Other
Enumeration date
02/09/2020
Last updated
11/26/2025
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