Individual
CYNTHIA LYNNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-2200
(913) 588-8423
Mailing address
6955 GREENWOOD ST, SHAWNEE, KS 66216-3905
(816) 589-3464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44641
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100454830A
—
KS
Enumeration date
05/31/2005
Last updated
01/12/2024
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