Individual
COURTNEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
315 W 75TH ST, KANSAS CITY, MO 64114-5738
(816) 361-4639
Mailing address
3918 CAMPBELL ST, KANSAS CITY, MO 64110-1112
(913) 952-4080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024050327
MO
Other
Enumeration date
01/14/2025
Last updated
01/17/2025
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