Individual
KAMI OPAL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 392-0341
Mailing address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 392-0341
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R0075063
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112940A
—
OK
01
—
OK700116
MEDICARE PTAN
OK
01
—
P00637856
MEDICARE RAILROAD
OK
Enumeration date
05/02/2007
Last updated
01/22/2026
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