Search › Wisconsin › 171M00000X
Keyiana Moore
NPI 1467025726 · on the registry since 2021 · sole proprietor
Practice
- Address
- 6131 W Locust St
Milwaukee, WI 53210 - Phone
- (414) 502-4623
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-22
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 Wisconsin