Individual provider · Type 1 NPI
Kara Autumn Moore
Student in an Organized Health Care Education/Training Program · Canal Fulton, OH
NPI number
1104639319
Active
Practice location
8535 Leaver Ave NW
Canal Fulton, OH 44614-8872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Athletic Trainer | 2255A2300X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1104639319
Kara Autumn Moore's National Provider Identifier is 1104639319, issued on Jan 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canal Fulton, OH. The record was last updated on Jan 30, 2025.