Moon, Kathryn Kolb
Moon, Kathryn Kolb is an individual health care provider with primary practice located at 1900 Woodland Dr Urology, Coos Bay OR 97420-2045. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moon, Kathryn Kolb can be contacted via phone (541) 267-5151.Contact Information
Primary practice address
1900 Woodland Dr Urology
Coos Bay OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4574
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200442251RN | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200450152NP | Oregon |
Profile Details
NPI number | 1508897778 |
---|---|
LBN Legal business name | Moon, Kathryn Kolb |
Credentials | M.S.N., F.N.P-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2006 |
Last updated | Aug 8th, 2016 - about 9 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 | 1508897778 | NPPES |
Oregon | MEDICAID | 292415 | |
Oregon | Other | R0000WFBTV | |
Oregon | Other | 161133 | |
Oregon | Other | 93-0635514 | |
Oregon | Other | 1407812365 | |
Oregon | Other | P01673840 |
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