Moffett, Kathryn S
Moffett, Kathryn S is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Moffett, Kathryn S can be contacted via phone (304) 598-4800.Contact Information
Primary practice address
1 Stadium Drive
Morgantown WV 26506
Phone: (304) 598-4800
Fax: (304) 598-6061
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19570 | West Virginia |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 19570 | West Virginia |
Profile Details
NPI number | 1023132750 |
---|---|
LBN Legal business name | Moffett, Kathryn S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2007 |
Last updated | Apr 13th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023132750 | NPPES |
West Virginia | MEDICAID | 0111774000 |
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