Individual
PATRICIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6801 E 117TH ST, KANSAS CITY, MO 64134-3701
(816) 966-0909
Mailing address
6801 E 117TH ST, KANSAS CITY, MO 64134-3701
(816) 966-0909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
073275
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073275
LICENSE
MO
Enumeration date
10/31/2016
Last updated
10/31/2016
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