Moody, Katherine

Moody, Katherine is an individual health care provider with primary practice located at 6405 France Ave S Suite W200, Edina MN 55435-2163. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moody, Katherine can be contacted via phone (952) 924-9005.

Contact Information

Primary practice address
6405 France Ave S Suite W200 Edina MN 55435-2163
Phone: (952) 924-9005
Fax: (952) 915-2443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-002505 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10589 Minnesota

Profile Details

NPI number 1194809400
LBN Legal business name Moody, Katherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 13th, 2009 - about 16 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.

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