Individual
KAYLEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4009 GABLES ST, AMARILLO, TX 79110-1422
(806) 206-9410
Mailing address
4009 GABLES ST, AMARILLO, TX 79110-1422
(806) 206-9410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1101911
TX
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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