Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kathryn Carr Moody, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669766150

Dr. Kathryn Carr Moody, MD is a Student in an Organized Health Care Education/Training Program in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

411 W Lake Lansing Rd Ste C120
East Lansing, MI 48823-8483
Phone: (517) 337-0957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301098915 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1669766150
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2011
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

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