Moudy, Kathleen Elizabeth
Moudy, Kathleen Elizabeth is an individual health care provider with primary practice located at 9911 N Nevada St , Spokane WA 99218-1298. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moudy, Kathleen Elizabeth can be contacted via phone (509) 626-9430.Contact Information
Primary practice address
9911 N Nevada St
Spokane WA 99218-1298
Phone: (509) 626-9430
Fax: (509) 227-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003530 | Washington |
Profile Details
| NPI number | 1386606093 |
|---|---|
| LBN Legal business name | Moudy, Kathleen Elizabeth |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jun 18th, 2021 - about 4 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 | 1386606093 | NPPES |
| Washington | MEDICAID | 8345936 |
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