Individual
KIERSTEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S2
Contact information
Practice address
8000 YORK RD STE 4100B, TOWSON, MD 21252-0002
(410) 704-3339
Mailing address
3110 HAYFIELD DR, ELLICOTT CITY, MD 21042-2422
(443) 510-7300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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