Individual
MRS. KAREN SUE MOELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC,
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00858
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0741482
MEDICARE PTAN
OH
Enumeration date
08/02/2005
Last updated
12/05/2011
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