Individual
DR. TY M. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-1886
(913) 588-5000
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9411922
KS
Other
Enumeration date
10/10/2022
Last updated
06/20/2024
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