Individual
DR. KRISTINA LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
44-723 HOONANI PL, KANEOHE, HI 96744-2413
(808) 258-1119
(808) 236-0207
Mailing address
44-723 HOONANI PL, KANEOHE, HI 96744-2413
(808) 258-1119
(808) 236-0207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY686
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49449301
—
HI
Enumeration date
02/23/2007
Last updated
07/08/2007
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