Kathleen Marie Moe
Dermatologist
45 Thomas Johnson Drive Suite 209
Frederick
, Maryland 21702
Kathleen Marie Moe
Dermatologist
45 Thomas Johnson Drive Suite 209
Frederick
, Maryland 21702
(301) 662-6755
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Kathleen Marie Moe
- 45 Thomas Johnson Drive Suite 209
- Frederick, MD
- Zip : 21702
- Phone : (301) 662-6755
Second Address
- Kathleen Marie Moe
- 45 Thomas Johnson Drive Suite 209
- Frederick, MD
- Zip : 21702
- Phone : (301) 662-6755
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | D63488 | MD |
National Provider Identifier
| NPI | 1003073958 |
|---|---|
| Provider Name | Kathleen Marie Moe |
| First Address | Frederick, MD 21702 |
| Second Address | Frederick, MD 21702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2008 |
| Last Update Date | 31/08/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.