Kimberly Moffat
Social Worker in Ammon, ID. Individual provider (NPI-1).
NPI number1548121908
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1548121908
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Moffat
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2025
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | ID | Yes |
Practice location
2705 E 17th StAmmon, ID 83406-6669
Phone 208-346-7500
Mailing address
3550 Hawthorne RdPocatello, ID 83201-6015
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All 87 Social Worker providers in Ammon · All 580 providers in Ammon
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