Individual
MS. KATHRYN DAWN MOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
511 BURROUGHS ST STE 101, MORGANTOWN, WV 26505-3389
(304) 285-5500
Mailing address
511 BURROUGHS ST STE 101, MORGANTOWN, WV 26505-3389
(304) 285-5500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33576
WV
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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