Individual
KAYLA ANGLIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4381 S EASON BLVD STE 202, TUPELO, MS 38801-6585
(662) 377-6610
Mailing address
514 HIGHWAY 9 S, CALHOUN CITY, MS 38916-8900
(662) 542-1477
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
902287
MS
207QG0300X
Geriatric Medicine (Family Medicine) Physician
902287
MS
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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