Individual
KILEY M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCHMII
Contact information
Practice address
1101 E WASHINGTON AVE, MCALESTER, OK 74501-4919
(918) 420-5006
Mailing address
1101 E WASHINGTON AVE, MCALESTER, OK 74501-4919
(918) 420-5006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
01/03/2022
Last updated
04/05/2022
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