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Individual

KAREN K MOELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
7625 ASHLEYWOOD DR, LOUISVILLE, KY 40241-1563

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
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