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Individual

DR. KATHLEEN ANN TRACH-MOSKUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
390 N MAIN ST, BOUNTIFUL, UT 84010-6046
(801) 294-1070
(801) 292-8369
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 294-1070
(801) 292-8369

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3125631205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
942854057086
UT
Enumeration date
05/25/2006
Last updated
06/26/2009
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