Individual
KAYLEN MARUA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 405-6955
Mailing address
2233 N SUMMIT AVE APT 710, MILWAUKEE, WI 53202-1288
(414) 405-6955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146487-30
WI
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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