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Contact Information

KAYLA A MOORE, NP-C
4381 S EASON BLVD STE 202
TUPELO, MS38801-6585
 Phone: 662-377-6610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KAYLA A MOORE · (Female)

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
  • MS License # 902287
Hospital affiliation(s)
  • NORTH MISSISSIPPI MEDICAL CENTER - (Acute Care)
    830 S GLOSTER
    TUPELO, MS 38801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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