Individual
KATHRYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(660) 365-0556
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
77228
KS
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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