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Individual

MS. KERRY E MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
6 DUPONT CIR NW # 1347, WASHINGTON, DC 20036-1108
(202) 785-1466
Mailing address
350 NEW CAMPUS DR, SUNY COLLEGE AT BROCKPORT HAZEN HEALTH CENTER, BROCKPORT, NY 14420-2997
(585) 395-2414
(585) 395-2559

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
336292
NY
363LF0000X
Family Nurse Practitioner
Primary
RN1063076
DC

Other

Enumeration date
11/23/2010
Last updated
04/18/2022
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