KYLE R MOORE, DPM, Surgery, Foot & Ankle CROSBY, MN

Contact Information

KYLE R MOORE, DPM

320 EAST MAIN STREET
CROSBY, MN 56441

Phone: 218-546-7000
Fax: 218-546-4400
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

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NPI Profile & details for KYLE R MOORE · (Male)

NPI Number	`1093155442`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	06/30/2013
Last updated	07/21/2022 - About 4 years ago
Sole proprietor ¹	No
Identifiers	FL License # PO3825 MN License # 1051 FL Other BJ7BU FLORIDA BLUE
Hospital affiliation(s)	CUYUNA REGIONAL MEDICAL CENTER - (Critical Access) 320 EAST MAIN STREET CROSBY, MN 56441

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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KYLE R MOORE, DPM – NPI #1093155442Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for KYLE R MOORE · (Male)

Reviews for KYLE R MOORE

KYLE R MOORE, DPM – NPI #1093155442
Surgery, Foot & Ankle