Individual
PATRICK DANIEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3811 29TH AVE, STE3, KEARNEY, NE 68845-1280
(308) 237-2621
(308) 237-2023
Mailing address
3811 29TH AVE, STE 3, KEARNEY, NE 68845-1280
(308) 237-2621
(308) 237-2023
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
265
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47082440100
—
NE
01
—
480028579
PALMETTO GBA-RRMC
—
Enumeration date
03/24/2006
Last updated
12/29/2025
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