Kathryn Marie Moen
MD | Pediatric Neonatal-Perinatal Medicine | Female
Kathryn Marie Moen, MD is a La Crosse, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine. Kathryn Marie Moen is also known as
Kathryn Marie Richmond.
Current practice location of Kathryn Marie Moen is
1836 South Ave, La Crosse, Wisconsin - 54601-5429. She can be contacted on phone at
608-782-7300.
Kathryn Marie Moen is a sole proprietor of her business.
NPI number (Unique professional ID) for Kathryn Marie Moen is
1215915970 which was assigned by NPPES on 04 Jan, 2006 and it was last updated on 18 May, 2017.
Kathryn Marie Moen license number is
39141 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Wisconsin.
Kathryn Marie Moen is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Kathryn Marie Moen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Kathryn Marie Moen |
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| Other Name : | Kathryn Marie Richmond |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kathryn Marie Moen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1836 South Ave
La Crosse, WI, 54601-5429
United States |
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| Phone Number : | 608-782-7300 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215915970 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jan, 2006 |
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| Last Updated On : | 18 May, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathryn Marie Moen are as mentioned. Primary taxonomy code for Kathryn Marie Moen, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 39141 | WI |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 41211 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Kathryn Marie Moen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 026524384 | MEDICAID | CO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1836 South Ave
La Crosse, WI, 54601-5429
United States |
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| Phone Number : | 608-782-7300 |
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Business Location:
Patients can refer following map for directions to
Kathryn Marie Moen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.