NPI | 1386909851 |
---|---|
Former Name | KATHRYN KURZET MOORE WOLPERT |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD181577) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 8736463-1205) |
207Q00000X Family Medicine (Licence: ID M-12656) | |
207Q00000X Family Medicine (Licence: PA MD479943) | |
207Q00000X Family Medicine (Licence: WA MD60824368) | |
207Q00000X Family Medicine (Licence: NV 18519) | |
Enumeration Date | 2012-07-10 |
Last Update Date | 2024-12-02 |