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Kischa Moton
NPI 1326309774 · on the registry since 2012
Practice
- Address
- 3019 Lincoln Ave
East Saint Louis, IL 62204 - Phone
- (618) 581-6638
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Also registered as
- 224Z00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois