Individual
KATHRYN LYNETTE MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 W NIFONG BLVD, BLDG 3 SUITE 130, COLUMBIA, MO 65203-5615
(573) 884-2356
(573) 884-0913
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015017283
MO
207R00000X
Internal Medicine Physician
Primary
2019010200
MO
208000000X
Pediatrics Physician
2015017283
MO
208000000X
Pediatrics Physician
2019010200
MO
Other
Enumeration date
07/01/2015
Last updated
09/02/2022
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