Individual
DR. CHRISTINE LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
402 W PINE ST, STE K, RAYMORE, MO 64083-9075
(816) 322-0701
(816) 322-2035
Mailing address
PO BOX 193, RAYMORE, MO 64083-0193
(816) 322-0701
(816) 322-2035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8J20
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15229013
BCBSKC
MO
05
—
242670602
—
MO
Enumeration date
06/01/2005
Last updated
05/27/2016
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