Individual
BARBARA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10541 GODDARD ST, APT. 345, OVERLAND PARK, KS 66214-3017
(913) 499-6523
Mailing address
10541 GODDARD ST, APT. 345, OVERLAND PARK, KS 66214-3017
(913) 499-6523
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
07/09/2007
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