Individual
MRS. KATHRYN BAKER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
1119 FRANKLIN RD SW APT 5, ROANOKE, VA 24016-4328
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0024179544
VA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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