Individual
SHINAE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
7420 N OAKLAND AVE, KANSAS CITY, MO 64158-1208
(816) 588-0169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
116996
MO
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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