| Doctor Name: | KATHERINE CLARK MORETZ |
| NPI Number: | 1316244049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 100573 |
| Business Practice Address: | 571 S Allen Rd Flat Rock, NC - 287319447 |
| Business Phone Number: | 8286926178 |
| Business Fax Number: | 8286926764 |
| Mailing Address: | 571 S Allen Rd, FLAT ROCK |
| State: | NC |
| Postal Code: | 287319447 |
| Phone Number: | 8286926178 |
| Fax Number: | 8286926764 |
| NPI Enumeration Date: | 02/15/2011 |
| NPI Last Update Date: | 03/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 100573 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |