Most Relevant Information
Provider Data
| NPI Number: | 1003073958 |
| Provider Name: | KATHLEEN MARIE MOE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | D63488 |
Most Important Dates
| Enumeration Date: | 05/19/2008 |
| Last Updated: | 08/31/2012 |
Provider Practice Location
45 THOMAS JOHNSON DRIVE
SUITE 209
FREDERICK
MD
21702
Practice Location Phone/Fax
| Phone: | 3016626755 |
| Fax: |
Provider Mailing Location
45 THOMAS JOHNSON DRIVE
SUITE 209
FREDERICK
MD
21702
Provider Mailing Phone/Fax
| Phone: | 3016626755 |
| Fax: |