Individual
KATHERINE R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 861-3506
Mailing address
13830 DOGLEG LN, BROOMFIELD, CO 80020-9571
(303) 466-5361
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
81552
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015851
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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