Individual
KYLEIGH RENAE MOORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2504 NE SPRING CREEK DR, LEES SUMMIT, MO 64086-7091
(660) 441-8474
Mailing address
2504 NE SPRING CREEK DR, LEES SUMMIT, MO 64086-7091
(660) 441-8474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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