Individual
MS. KATHLEEN T MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE MIDW
Contact information
Practice address
11730 SUDLEY MANOR DRIVE, MANASSAS, VA 20109-2843
(703) 257-3001
(703) 257-3133
Mailing address
700 24TH ST, KENNER CLINIC AT FORT LEE, FORT LEE, VA 23801-1716
(804) 734-9942
(877) 874-1008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001073304
VA
363L00000X
Nurse Practitioner
Primary
0024073304
VA
Other
Enumeration date
12/27/2006
Last updated
05/16/2011
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