Individual
KATHRYN ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4217 ZAGAR DR, CINCINNATI, OH 45245-1609
(859) 609-3041
Mailing address
4217 ZAGAR DR, CINCINNATI, OH 45245-1609
(859) 609-3041
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
1175636
KY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
505426
OH
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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