Individual
KYLEIGH M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7344 OBRIEN RD, BALDWINSVILLE, NY 13027-9795
(315) 638-6132
Mailing address
7344 OBRIEN RD, BALDWINSVILLE, NY 13027-9795
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
770815
NY
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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