Individual provider · Type 1 NPI

Kimberly Leigh Moore, RN CPNP-AC CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1164592457 Active

Practice location

1935 Motor St
Dallas, TX 75235-7701

Mailing address

3717 Cole Ave, Apartment 274
Dallas, TX 75204-4502

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP114683 (TX)
Critical Care Pediatric Nurse Practitioner 363LP0222X728846 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1164592457

Kimberly Leigh Moore, RN CPNP-AC CPNP's National Provider Identifier is 1164592457, issued on Nov 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Apr 23, 2024.