Individual
KATHARINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 ACADEMY PL STE 107, COLORADO SPRINGS, CO 80909-1696
(719) 400-2222
Mailing address
2233 ACADEMY PL STE 105, COLORADO SPRINGS, CO 80909-1679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1664853
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750955605
—
CO
Enumeration date
12/08/2021
Last updated
12/08/2021
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