Individual provider · Type 1 NPI

Kaitlyn Virginia Moore

Student in an Organized Health Care Education/Training Program · Springfield, OH

NPI number 1992212302 Active

Practice location

600 Bowman Rd
Springfield, OH 45505-1814

Call (937) 360-5711 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XUD491708 (OH)
Student in an Organized Health Care Education/Training Program Primary 390200000XUD491708 (OH)

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 1992212302

Kaitlyn Virginia Moore's National Provider Identifier is 1992212302, issued on Jan 8, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, OH. The record was last updated on Jan 8, 2018.