Individual
KAYLYNN MARIE VAN MOPPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL PEDICURIST,
Contact information
Practice address
897 ROYAL AVE STE C, MEDFORD, OR 97504-6121
(541) 226-8143
Mailing address
897 ROYAL AVE STE C, MEDFORD, OR 97504-6121
(541) 226-8143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
COS-NT-10152974
OR
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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