Individual
DR. KYLE R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1051
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BJ7BU
FLORIDA BLUE
FL
Enumeration date
06/30/2013
Last updated
07/21/2022
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