Individual
MS. KATHLEEN ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC NNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-5006
(216) 844-1922
Mailing address
26452 CHAPEL HILL DR, NORTH OLMSTED, OH 44070-1808
(440) 716-9752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN218648
OH
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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