Individual provider · Type 1 NPI

Kisuk K. Moore, RN

Registered Nurse · Fort Myer, VA

NPI number 1376517565 Active

Practice location

401 Carpenter Rd
Fort Myer, VA 22211-1009

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X0001120941 (VA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1376517565

Kisuk K. Moore, RN's National Provider Identifier is 1376517565, issued on Feb 14, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Myer, VA. The record was last updated on Jul 13, 2026.