Individual
KATHERINE ROYA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
415 W GORE BLVD, LAWTON, OK 73501-3710
(580) 695-7374
Mailing address
2405 NE 135TH ST, LAWTON, OK 73507-9793
(580) 695-7374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88772
OK
Other
Enumeration date
10/04/2018
Last updated
02/21/2019
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