| Kathryn Moore, ARNP | |
|
1614 Diamond Street Pl, Onawa, IA 51040 | |
| (712) 423-1525 | |
| (712) 423-2528 |
| Full Name | Kathryn Moore |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1614 Diamond Street Pl, Onawa, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093120826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A122223 (Iowa) | Primary |
| Entity Name | Burgess Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538234232 PECOS PAC ID: 0143131516 Enrollment ID: O20031219000549 |
| Entity Name | Family Medicine Clinic, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386824787 PECOS PAC ID: 0547159824 Enrollment ID: O20040313000752 |
| Entity Name | Burgess Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730253360 PECOS PAC ID: 0143131516 Enrollment ID: O20061104000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Moore, ARNP 1614 Diamond Street Pl, Onawa, IA 51040-1554 Ph: (712) 423-1525 | Kathryn Moore, ARNP 1614 Diamond Street Pl, Onawa, IA 51040 Ph: (712) 423-1525 |
Ashraf Adel Samy Gerges, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 Diamond St, Onawa, IA 51040 Phone: 712-423-2311 Fax: 712-423-3500 | |
Tracy L Kahl, D. O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 Fax: 712-423-2528 | |
Brandon L Kovar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 Fax: 712-423-2528 | |
Paul Edward Dudley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 Fax: 712-423-2528 | |
Dr. Shannon Renee Kennedy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 Fax: 712-423-2528 | |
Dr. Peter M. Daher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Burgess Health Center, 1600 Diamond Ave, Onawa, IA 51040 Phone: 712-423-2311 |