Moffett, Kathryn S

Moffett, Kathryn S is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Moffett, Kathryn S can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Stadium Drive Morgantown WV 26506
Phone: (304) 598-4800
Fax: (304) 598-6061
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19570 West Virginia
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 19570 West Virginia

Profile Details

NPI number 1023132750
LBN Legal business name Moffett, Kathryn S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Apr 13th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023132750 NPPES
West Virginia MEDICAID 0111774000

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