Individual provider · Type 1 NPI

Kaitlynn Moore

Student in an Organized Health Care Education/Training Program · Roseville, CA

NPI number 1265375547 Active

Practice location

2270 Douglas Blvd Ste 112
Roseville, CA 95661-4239

Call (916) 542-9514 Map

Mailing address

3960 Industrial Blvd # 600
West Sacramento, CA 95691-3496

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1265375547

Kaitlynn Moore's National Provider Identifier is 1265375547, issued on Apr 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roseville, CA. The record was last updated on Apr 13, 2026.