Individual provider · Type 1 NPI

Kenna Jane Moore

Professional Counselor · Riverton, KS

NPI number 1093579450 Active

Practice location

6610 SE Quakervale Rd
Riverton, KS 66770-4185

Call (620) 848-2300 Map

Mailing address

PO Box 550
Riverton, KS 66770-0550

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X04600-T (KS)

Professional Counselor: Definition to come...

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About NPI 1093579450

Kenna Jane Moore's National Provider Identifier is 1093579450, issued on Feb 7, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Riverton, KS. The record was last updated on Feb 7, 2024.