Kathleen P Moore, LMP
NPI #1356561492 in Chehalis, Washington
Provider Information
- NPI Number
- 1356561492
- Entity Type
- Individual
- Name
- Kathleen P Moore, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Apr 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1637 S MARKET BLVD
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-3826
- Phone
- (360) 748-9827
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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