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 |
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Address | 4864 Jackson St, Monroe, Louisiana |
Phone Number | 3183307626 |
Fax Number | 3183307648 |
Sole Proprietor | N |
Credentials | CNP |
NPI Number Detail
NPI Number | 1205975844 |
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Provider Enumeration Date | 2007-02-06 |
Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
Address | 4864 Jackson St |
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City | Monroe |
State | Louisiana (LA) |
Post Code | 712026400 |
Phone Number | 3183307626 |
Fax Number | 3183307648 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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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 | -- |
Post Comment/ Review Below
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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