SearchMinnesota207RH0003X

Kathryn Moore, MD

NPI 1689850794 · on the registry since 2008 · sole proprietor

Practice

Address
3931 Louisiana Ave S
St Louis Park, MN 55426
Phone
(952) 993-2750
Organisation at this address
Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
Clinicians at this address
161

Registry record

Primary taxonomy
207RH0003X
207RH0003X
Also registered as
207R00000X
Licence states on file
IL, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota