Individual
KATELYN ROSE MOFFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2105 BRAXTON LN STE 101, GREENSBORO, NC 27408-2862
(336) 333-6306
(336) 333-6309
Mailing address
PO BOX 604345, CHARLOTTE, NC 28260-4345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13501
NC
Other
Enumeration date
09/07/2023
Last updated
04/30/2026
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