Individual provider · Type 1 NPI

Bryar Moore

Student in an Organized Health Care Education/Training Program · Kirksville, MO

NPI number 1619781465 Active

Practice location

500 W Jefferson St
Kirksville, MO 63501

Mailing address

701 W Scott St Apt 2
Kirksville, MO 63501-1555

Other practice locations

  • 1500 Park Ave, St. Louis, MO 63104-3024 · (314) 833-2700

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 1619781465

Bryar Moore's National Provider Identifier is 1619781465, issued on Feb 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kirksville, MO. The record was last updated on Feb 3, 2025.