Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHYRN J MOE, CDE
ActiveKATHYRN J MOE, CDE is a Nutritionist healthcare provider located in DETROIT LAKES, Minnesota. NPI 1811391915 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1811391915
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2014 (11.850965363862 yrs)
- Last Updated
- Oct 17, 2014
- Licenses
-
R 089641-8 (MN)R18777 (ND)
Practice Information
- Address
-
1245 WASHINGTON AVEDETROIT LAKES, MN, 565013905Browse MN providers · Browse ZIP 56501
- Phone
- 2188462000
- Primary Specialty
-
Nutritionist
133N00000X
- Additional Specialty
- Nutritionist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.