Individual
KRISTEN LEIGH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
210 OLIVER ST, SELMA, NC 27576-8815
(984) 277-1932
Mailing address
210 OLIVER ST, SELMA, NC 27576-8815
(984) 277-1932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208634
NC
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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