Individual
KAREN K MOELLER
Active
Individual
KAREN K MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
37766
KY
2085P0229X
Pediatric Radiology Physician
Primary
T7440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000544151
ANTHEM - KCR
KY
01
—
000023029Y
HUMANA - KCR
KY
05
—
200431700
—
IN
01
—
2442247000
PAD - KCR
KY
01
—
50016963
PASSPORT - KCR
KY
05
—
64064330
—
KY
01
—
91709
SIHO - KCR
KY
Enumeration date
10/10/2006
Last updated
05/16/2023
Update your record
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