Individual
KIMBERLY ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 W 21ST ST, LAWRENCE, KS 66046-2831
(913) 620-8220
Mailing address
1109 W 21ST ST, LAWRENCE, KS 66046-2831
(913) 620-8220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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