Individual
MR. KIRBY L MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
B.S., A.T.,C.
Contact information
Practice address
160 GROSS ST, FRONTIER SHOPPING PLAZA, MARIETTA, OH 45750-2031
(740) 374-3200
(740) 374-9560
Mailing address
41197 S DUDLEY RD W, CALDWELL, OH 43724-9259
(740) 783-2034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-000109
OH
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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