Moore, Kathryn Rose

Moore, Kathryn Rose is an sole proprietor health care provider with primary practice located at 3931 Louisiana Ave S , St Louis Park MN 55426-5000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Moore, Kathryn Rose can be contacted via phone (952) 993-2750.

Contact Information

Primary practice address
3931 Louisiana Ave S St Louis Park MN 55426-5000
Phone: (952) 993-2750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125050108 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD154557 Oregon

Profile Details

NPI number 1689850794
LBN Legal business name Moore, Kathryn Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2008
Last updated Jan 8th, 2014 - about 11 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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