Individual
KRISTA LEA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 E STATE ST, COLUMBUS, OH 43215-4281
(574) 546-1900
(574) 546-1999
Mailing address
8770 WICKLOW AVE, CINCINNATI, OH 45236-1654
(513) 400-7880
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0038737
OH
Other
Enumeration date
02/25/2025
Last updated
10/17/2025
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