Individual
KIMBERLY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-4021
(248) 898-1473
Mailing address
130 TOWN CENTER DR, 203, TROY, MI 48084-1744
(248) 585-8265
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704279677
MI
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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