Search › Wisconsin › 101YA0400X
Carrie Moore, SAC-IT
NPI 1508684804 · on the registry since 2024 · sole proprietor
Practice
- Address
- 6321 23rd Ave
Kenosha, WI 53143 - Phone
- (262) 671-1625
- Fax
- (866) 719-3024
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-29
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