Individual
WADE KYLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 E 23RD AVE, HUTCHINSON, KS 67502-9907
(620) 524-0799
Mailing address
5 MONARCH LN, HUTCHINSON, KS 67502-9115
(620) 245-4715
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558280-122
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2025
Last updated
05/28/2025
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