Individual
LARRY MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7861 SE FREEWAY FARMS DR, HOLT, MO 64048-8404
(816) 588-2897
Mailing address
7861 SE FREEWAY FARMS DR, HOLT, MO 64048-8404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-104413-111
KS
163W00000X
Registered Nurse
Primary
2007023704
MO
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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