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Individual

DR. KATHERINE MARIE EBSWORTH-MOJICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2004 CUMBERLAND AVE STE 301, MIDDLESBORO, KY 40965-1385
(606) 248-3091
(606) 248-8526
Mailing address
2004 CUMBERLAND AVE STE 301, MIDDLESBORO, KY 40965-1385
(606) 248-3091
(606) 248-8526

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51829
KY
2080P0208X
Pediatric Infectious Diseases Physician
51829
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100540920
KY
Enumeration date
07/17/2008
Last updated
11/07/2025
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