Provider Demographics
NPI:1497737092
Name:MOORE, KATHRYN A (PA-C)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:MOORE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:203 N WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0233
Mailing Address - Country:US
Mailing Address - Phone:509-444-8888
Mailing Address - Fax:509-444-7806
Practice Address - Street 1:1001 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-4503
Practice Address - Country:US
Practice Address - Phone:509-444-8200
Practice Address - Fax:509-835-1210
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2016-02-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical