Kathleen D Moore in Monroe - Family

Kathleen D Moore - NPI 1205975844

Kathleen D Moore is a Family in Monroe, Louisiana. Kathleen D Moore practices all healthcare services and medical treatments related to Family. The NPI Number for Kathleen D Moore is 1205975844. The last update date is 2008-02-29.

Kathleen D Moore's current location address is 4864 Jackson St, Monroe, Louisiana. You can contact this provider via phone number 3183307626 and fax number 3183307648. The mailing address for Kathleen D Moore is 4864 Jackson St, Monroe, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen D Moore
Address 4864 Jackson St, Monroe, Louisiana
Phone Number 3183307626
Fax Number 3183307648
Sole Proprietor N
Credentials CNP

NPI Number Detail

NPI Number 1205975844
Provider Enumeration Date 2007-02-06
Last Updated Date 2008-02-29

Provider Mailing Address Detail

Address 4864 Jackson St
City Monroe
State Louisiana (LA)
Post Code 712026400
Phone Number 3183307626
Fax Number 3183307648

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No RN042413-279
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1541834 LA --

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FAQs about Kathleen D Moore

What is the unique 10-digit identifier code issued to Kathleen D Moore by the Centers for Medicare & Medicaid Services?

The Kathleen D Moore has been assigned the NPI (National Provider Identifier) 1205975844 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kathleen D Moore?

The Kathleen D Moore is situated at 4864 Jackson St, in the city of Monroe, state of LA, with the zip code 712026400.

What is Kathleen D Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kathleen D Moore is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1205975844 to Kathleen D Moore?

The Centers for Medicare & Medicaid Services originally issued the 1205975844 to Kathleen D Moore on 2007-02-06.

When was the information pertaining to Kathleen D Moore most recently updated or revised?

The details related to Kathleen D Moore, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-29.

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