Individual
KATELYN HELEN MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
329 NC HIGHWAY 801 N, BERMUDA RUN, NC 27006-7905
(336) 998-1294
Mailing address
329 NC HIGHWAY 801 N, BERMUDA RUN, NC 27006-7905
(336) 998-1294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-07189
LICENSE
NC
Enumeration date
05/18/2017
Last updated
02/10/2021
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