Individual
MRS. KENETHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3427 MEADOW LN, MOBILE, AL 36618-4687
(251) 767-1770
Mailing address
3427 MEADOW LN, MOBILE, AL 36618-4687
(251) 767-1770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-109377
AL
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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