Individual
KATHLEEN N MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 NE 10TH ST, OUPB5200, OKLAHOMA CITY, OK 73104-5417
(405) 271-7770
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23801
OK
Other
Enumeration date
10/06/2006
Last updated
01/14/2011
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