Individual
MRS. KIMBERLY A. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 221-5050
(816) 471-1247
Mailing address
1900 SWIFT AVE STE 203, PO BOX 7391, NORTH KANSAS CITY, MO 64116-3400
(816) 221-5050
(816) 471-1247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012031468
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2010042084
MO
Other
Enumeration date
10/03/2006
Last updated
09/09/2015
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