Individual
KATI RENAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 E 31ST ST, KEARNEY, NE 68847-2908
(308) 737-5284
Mailing address
10 E 31ST ST, KEARNEY, NE 68847-2908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
08/12/2025
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