Individual provider · Type 1 NPI

Kathleen Moore, RN, CDE

Diabetes Educator Registered Nurse · Salt Lake City, UT

NPI number 1508103698 Active

Practice location

500 Foothill Blvd
Salt Lake City, UT 84148-0001

Fax (801) 584-1576

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400X220464-3102 (UT)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1508103698

Kathleen Moore, RN, CDE's National Provider Identifier is 1508103698, issued on Jan 9, 2013. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 9, 2013.