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Individual

MRS. KAREN DEANNA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3300
Mailing address
15455 NW 126TH ST, PLATTE CITY, MO 64079-7272
(816) 804-8499

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2010040481
MO
363LN0000X
Neonatal Nurse Practitioner
5375277101
KS

Other

Enumeration date
09/18/2009
Last updated
02/14/2012
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