NPI Profile for KAYLA A MOORE in TUPELO, MS.
The NUCC recommends this code not be used. Choose a more appropriate code.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice |
| NPI # | 1578082137 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 09/14/2017 | |
| Last updated | 09/14/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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KAYLA A MOORE
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