Individual
KAITLYN CHRISTINA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
713 BETHLEHEM PIKE, MONTGOMERYVILLE, PA 18936-9602
(267) 695-3944
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
253812
NC
363L00000X
Nurse Practitioner
Primary
SP022134
PA
Other
Enumeration date
09/05/2017
Last updated
02/24/2022
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