Individual
KATHLEEN MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
915 OLENTANGY RIVER RD STE 4000, COLUMBUS, OH 43212-3154
(614) 366-3687
(614) 293-9698
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 366-3687
(614) 293-9698
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.13664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079512
—
OH
Enumeration date
06/25/2008
Last updated
12/08/2022
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