Provider Demographics
NPI:1295799864
Name:MOEHRING, KURT ANTHONY (DO)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:ANTHONY
Last Name:MOEHRING
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2450 SISTER MARY COLUMBA DR
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-4356
Mailing Address - Country:US
Mailing Address - Phone:530-527-0414
Mailing Address - Fax:530-528-4423
Practice Address - Street 1:3455 KNIGHTON RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-9498
Practice Address - Country:US
Practice Address - Phone:530-226-7662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9262207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0089250Medicaid
CARHM53955FMedicaid
CA553955Medicare Oscar/Certification
CARHM53955FMedicaid