Individual provider · Type 1 NPI
Kristene Y. Moore, FNP-BC
Adult Medicine Physician · Belton, MO
NPI number
1417540402
Active
Practice location
105 N Park Dr
Belton, MO 64012-1957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 2012077047 (MO) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1417540402
Kristene Y. Moore, FNP-BC's National Provider Identifier is 1417540402, issued on Feb 19, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Belton, MO. The record was last updated on Feb 19, 2021.