Katherine Moody in Edina - Physician Assistant
Katherine Moody - NPI 1194809400
Katherine Moody is a Physician Assistant in Edina, Minnesota. Katherine Moody practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katherine Moody is 1194809400. The last update date is 2009-08-13.
Katherine Moody's current location address is 6405 France Ave S, Edina, Minnesota. You can contact this provider via phone number 9529249005 and fax number 9529152443. The mailing address for Katherine Moody is 6405 France Ave S, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Moody |
|---|---|
| Address | 6405 France Ave S, Edina, Minnesota |
| Phone Number | 9529249005 |
| Fax Number | 9529152443 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1194809400 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2009-08-13 |
Provider Mailing Address Detail
| Address | 6405 France Ave S |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554352163 |
| Phone Number | 9529249005 |
| Fax Number | 9529152443 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10589 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Katherine Moody by the Centers for Medicare & Medicaid Services?
The Katherine Moody has been assigned the NPI (National Provider Identifier) 1194809400. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Katherine Moody is geographically located?
The Katherine Moody is physically situated at the following location: 6405 France Ave S, Edina, MN, 554352163.
What is the Katherine Moody's area of specialization and corresponding taxonomy classification?
The Katherine Moody's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194809400 to Katherine Moody?
The Centers for Medicare & Medicaid Services originally issued the 1194809400 to Katherine Moody on 2006-10-24.
As of what date were the details pertaining to Katherine Moody last refreshed?
The information related to the Katherine Moody, including its address, specialty, and other relevant details, was last updated on 2009-08-13.
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