Individual
KIMBERLEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2347 ROSSVILLE BLVD, CHATTANOOGA, TN 37408-2250
(423) 265-3122
Mailing address
2347 ROSSVILLE BLVD, CHATTANOOGA, TN 37408-2250
(423) 265-3122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83696
TN
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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