Individual
KARLEY BROOKE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3644 W STATE HIGHWAY 18, MANILA, AR 72442-8049
(708) 561-3300
(870) 561-3307
Mailing address
624 LANES WAY, MANILA, AR 72442-9136
(870) 740-9800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212805
AR
Other
Enumeration date
11/18/2020
Last updated
01/16/2024
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